Temporary Hourly Registered Nurse- Hedis

Full-time, Temporary. 

JOB SUMMARY:

Under the direction of the Leader of HEDIS Data Management and Strategic Operations - 

Support annual clinical quality review and medical record abstraction for MVP's regulatory required medical record reviews for the following measures:

• • Controlling High Blood Pressure (CBP)
  • Cervical Cancer Screening (CCS)
  • Childhood Immunization Status (CIS)
  • Comprehensive Diabetes Care (CDC)
  • Care for Older Adults (COA)
  • Colorectal Cancer Screening (COL)
  • Immunization for Adolescents (IMA
  • Prenatal and Postpartum Care (PPC)
  • Transitions of Care (TRC)
  • Weight Assessment and Counseling for Children and Adolescents (WCC)
• Review training materials and measure criteria for HEDIS Vendor
• Knowledge and use of HEDIS Vendor Reporting package
• Utilize remote access to obtain medical records
• Performs other duties as assigned.

POSITION QUALIFICATIONS

Minimum Education:

Current New York State license as an LPN.

Registered Nurse preferred.

Minimum Experience:

• Experience in review of clinical documentation and medical records.
• Previous HEDIS Measure subject matter expertise.
• Five years of varied work experience in clinical services preferred.  

 Required Knowledge and Skills:

• Excellent clinical assessment and decision-making skills as demonstrated by the ability to readily abstract pertinent clinical information from the review of a wide range of medical records.
• Exemplary attention to detail and completeness.
• Must meet pre-established thresholds for clinical review post-training testing.
• Ability to work effectively and collaboratively in a team environment.
• Ability to maintain a professional demeanor in dealing with providers/practitioners in potentially difficult situations.
• Ability to effectively (clearly and concisely) communicate review findings to providers/provider office staff.
• Ability to maintains the confidentiality of providers/practitioners, and members.
• Strong organizational ability to manage projects with tight timelines.
• Computer Skills: Proficient in the use/application of Microsoft Office (Word, Excel).
• Valid New York State Driver's license and access to a motor vehicle.

About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.
• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
• Life insurance and disability coverage to ensure financial security for you and your dependents.
• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.

MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
 

Please apply and learn more - including how you may become a proud member of our team.