AlliedTravelCareers is working with Cynet Health to find a qualified Technician in New York City, New York, 10004!
About The Position
Job Title : HEDIS Quality Reviewer Job Specialty : Quality Improvement Job Duration : 9 Months Shift : Day - 9am - 5pm, Hybrid Guaranteed Hours : 40 Hours / Week Experience : 3-5 years in Quality Improvement in a healthcare and / or Managed Care setting strongly preferred License : Not specified, but clinical background preferred Certifications : Clinical roles such as RN, LPN, LMSW, LCSW, or Foreign Medical Graduate preferred Must-Have : Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Access)- Knowledge of HEDIS and QARR specifications- Experience with EMR systems such as EPIC, Quadramed- Ability to travel within the service area- Knowledge of ICD-10 and CPT codes preferred Job Description : Maintain knowledge of medical record review and EMR systems.
- Stay updated on HEDIS, QARR, and Star specifications.- Distribute requests for records and schedule appointments with provider offices to ensure timely completion of duties.
- Perform clinical audits via EMR, in-house paper medical records, and on-site provider visits to measure compliance with preventive health guidelines.
- Measure the effectiveness of quality improvement initiatives.- Identify, track, and report variations from standards of care by auditing core operations, patient care processes, and medical record documentation.
- Design interventions to drive improvement and minimize variation from standards of care.- Accurately and timely enter clinical quality findings in the appropriate system(s).
- Assist in implementing quality improvement activities as directed by Quality Management programming needs.- Support interdepartmental and internal teams focused on process improvement projects and outcomes.
- Provide educational support to physicians and staff to ensure process improvement and increase member satisfaction and retention.
- Facilitate retrieval of medical record documentation, working with provider groups and in-field navigators.- Record findings of patient encounters in a database, including patient identifiers, relevant information, and results.
- Participate in the annual HEDIS and QARR hybrid medical record review project, supporting temporary staff and serving as the final reviewer of records.
9399484EXPPLAT
Job Requirements
Required for Onboarding
- BLS - AHA
- Pharmacology
- Skills Checklist
- Specialty Exam
About Cynet Health
Your travel adventure begins here. Matching talented healthcare heroes like you with high-paying jobs at the best facilities across all 50 states.
We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises.
Your salary will be discussed upfront and there will be no troubling negotiation tactics.
Travel Nurse RN - Oncology in New York, NY - Excellent Benefits 2024-10-19
Home to over 19 million residents, including New York City, the state of New York is incredibly diverse, from its inhabitants to its landscape! Depending on what part of the state you're visiting, you could be surrounded by soaring skyscrapers'or by soaring mountains. TravelNurseSource is working wi...
Travel Nurse RN - Telemetry in Flushing, NY - Excellent Benefits 2024-10-19
TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Flushing, New York, 11355!. Start your medical travel career with Fusion Medical Staffing and gain access to competitive pay packages, comprehensive benefits, corporate discounts and perks, a clinical team ...
Travel Registered Nurse - Neuro - $2,187 per week in New York City, NY
TravelNurseSource is working with Voca LLC to find a qualified Neuro RN in New York City, New York, 10029!. Are you looking for your next travel assignment or to kick off your traveler career? Voca offers a full benefits package, a high level of individualized support, and a strong, traveler-first c...
Physician (MD/DO) - Obstetrics and Gynecology in New York, NY - Excellent Benefits 2024-10-19
LocumJobsOnline is working with Healthcare Connections to find a qualified Obstetrics and Gynecology MD in New York, New York, 10001!. An award-winning hospital system in suburban Syracuse it's actively recruiting an OBGyn to take over for a retiring physician! This is an established patient panel i...
Travel Nurse RN - Psych in Albany, NY - Excellent Benefits 2024-10-19
TravelNurseSource is working with Care Team Solutions to find a qualified Psych RN in Albany, New York, 12208!. Some travel nursing agencies provide opportunities for continuing education, allowing you to expand your knowledge base and stay updated on the latest advancements in healthcare. Managing ...
Travel CT Tech in New York - Excellent Benefits 2024-10-19
Founded in 2018, in Peabody MA, with roots in healthcare staffing since 2001, Barton Healthcare Staffing focuses on building a broad network of highly skilled allied health and specialty nurse clinicians — One relationship at a time. AlliedTravelCareers is working with Barton Healthcare Staffi...
Travel Registered Nurse - ICU/Critical Care in Newark, NY - Excellent Benefits 2024-10-19
Home to over 19 million residents, including New York City, the state of New York is incredibly diverse, from its inhabitants to its landscape! Depending on what part of the state you're visiting, you could be surrounded by soaring skyscrapers'or by soaring mountains. You will provide professional n...
Travel Occupational Therapist (OT) in Syracuse, NY - Excellent Benefits 2024-10-19
AlliedTravelCareers is working with Aya Healthcare to find a qualified Occupational Therapist (OT) in Syracuse, New York, 13201!. Exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment. Plus, you get everything you expect from the larg...
Travel Interventional Radiology in White Plains, NY - Excellent Benefits 2024-10-19
AlliedTravelCareers is working with Cynet Health to find a qualified Interventional Radiology in White Plains, New York, 10601!. We do not discriminate against any candidate based on race, color, sex, religion, national origin, age, military status, disability, genetic information, or any other cons...
Travel Physical Therapist (PT) in The Bronx, NY - Excellent Benefits 2024-10-19
National Staffing Solutions is a leader in the travel healthcare industry with a focus on placing healthcare professionals in positions that allow them to gain valuable experiences, fill the skyrocketing demand in their field, and travel nationwide at premium pay. AlliedTravelCareers is working with...