HEDIS Coordinator RN

Description:

The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients. This person is responsible for providing simple medical care and treatment to patients.

Job Responsibilities: Collect information from patients to be admitted regarding medical records, medical insurance details, and other pretreatment formalities. Record health details of patient vital signs such as height, weight, temperature, blood pressure, etc. Help patients prepare for medical examinations and take samples from patients. Take care of sanitary requirements of patients such as bathing, dressing, and other similar tasks. Observe patients, charting and reporting changes in patient's conditions, and taking any necessary action. Assemble and use equipment such as catheters, tracheotomy tubes, oxygen suppliers, etc. Collect samples such as blood, urine, etc., and perform routine laboratory tests on samples. Give direct patient care and individual patient needs as directed by the patient care plan. Administer prescription medications and injections to patients under specific policies and procedures.

Skills: Verbal communication skills, attention to detail, and problem-solving skills. Verbal and written communication skills, attention to detail, and problem-solving skills. Basic ability to work independently and manage one's time. Basic knowledge of the information and techniques needed to diagnose and treat human injuries and diseases. Basic ability to analyze data and accurately document and record results. Understands the Nurse Practice Act and the legal consequences of nursing action.

Education/Experience: Associate's degree in nursing is required. Bachelor's degree preferred. Nursing license required. 0-2 years experience required.

Skills:

Health care, Medical records, Managed care, HEDIS, Epic, Electronic health record, Emr, Rn license, medical record charting software, Medical Record Review, Medicare, Audit, Data abstraction, Medical terminology, Case management, Prior authorization, Utilization review, Care Management, Charting, Interqual, Chart review, Appeals

Additional Skills & Qualifications:

Registered Nurse (ADN or BSN)

Experience Level:

Experienced

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

Actalent is an equal opportunity employer.

About Actalent

Actalent connects passion with purpose. We help visionary companies advance their engineering and science initiatives through access to specialized experts that drive scale, innovation, and speed to market. With a network of almost 30,000 engineering and sciences consultants and more than 4,500 clients across the U.S., Canada, Asia, and Europe, Actalent serves many of the Fortune 500. An operating company of Allegis Group, the global leader in talent solutions, Actalent launched as a new specialized engineering and sciences services and workforce solutions brand in 2021.