Clinical Quality Reviewer (RN)
at Medix

Date Posted: 11/19/2019

Job Description


Clinicial Quality Reviewer (RN)

Weekly Pay

3 Month Contract with the ability to be extended

POSITION OVERVIEW:


The Quality Reviewer performs data collection, review of medical records, quality reviews and audits to assure quality within the network. The incumbent performs HEDIS/Star data collection to help meet NCQA accreditation and Star ratings. Other audits are conducted per other regulator, business unit and ad hoc requests.

KEY ACCOUNTABILITIES:

Data Collection & Documentation (90%)

* Utilize tools, resources and programs to meet the regulatory, accreditation, quality needs and financial goals.
* Performs primary data collections and audits (HEDIS/Star audits).
* Documents and collects in the assigned time

Evaluate the process of the audit and make recommendation in improvement efforts (10%)


* Assists with training of audits/data collection process
* Actively participates in the debriefing of each data collection or audit process for quality improvement in process

MINIMUM QUALIFICATIONS/REQUIREMENTS:


* Required: Registered Nurse
* Minimum years' experience required in the field to qualify for the position: 3-5 years experience (but must have chart reviewing experience)

Job Snapshot

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

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