HEDIS Review Nurse

An on site HEDIS Review Nurse job in Nashville, TN is available courtesy of Adecco Medical & Science. We’re searching for RNs with prior experience in HEDIS. This is an onsite position.

HEDIS Review Nurse job responsibilities include:
• Collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base
• Manage a high caseload and high volume of telephonic interaction with provider offices
• Provider / Hospital follow up requested medical records required
• Must keep excellent documentation of requested medical record research

• Requires a licensed nurse; RN, must be a Graduate of an accredited school of nursing
• Two to Five years of experience with HEDIS Review and/or Auditing required
• Candidates must be computer efficient and must be able to navigate computer programs effectively. Microsoft Excel, Microsoft Word, Microsoft Outlook, and Typing test will be given prior to starting this position.
• Selected nurses must research and must be detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time

If you are interested in this HEDIS Review Nurse job in Nashville, TN then please contact Hari Dhurjaty at 585-613-3037 or hari.dhurjaty@adecco.com or click APPLY NOW to apply online. For other opportunities available at Adecco Medical go to www.adeccousa.com

Equal Opportunity Employer Minorities/Women/Veterans/Disabled

  • Apply with Adecco

Reference number US_EN_2_101083_332025