Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor)

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• This person will be abstracting data from medical records and entering into the database. They will occasionally be traveling to provider offices and work with their staff to review charts

• Coordinate, complete, and update management on clinical quality

• Establish and maintain an action plan to improve HEDIS scores

• Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities

• Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality 

• Active license for a vocational nurse

• Recent HEDIS background 

• Solid paper charting experience

• Extensive utilization review / concurrent review experience

• Computer Savvy/ Excel knowledge

Hours for this Position:

• 08:00 AM to 05:00 PM (Monday to Friday / 40 hours a week)

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment

• Right to Hire Opportunity

• Can start right away!!