We're looking for a Review Nurse, working in the Insurance industry in Albuquerque, New Mexico, United States.
Applies structured auditing criteria to abstract medical records, follows defined procedures for saving approved medical record documentation and accurately enters the results of chart audits into the health plans database, Quality Spectrum Hybrid Reporter (QSHR).
Abstracts medical record documentation submitted for HEDIS measures, used annually for reporting to National Committee for Quality Assurance (NCQA).
Maintains productivity level with less than a 5% error rate in record abstraction and data entry on an ongoing basis.
Complies with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
Maintains complete confidentiality of company related business.
The pay range we are offering is 25 to 29 per hour. This position may present an opportunity to go permanent.
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’s about relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
Registered Nurse (RN) with unrestricted license in state
Experience in utilization review, quality assurance, and/or medical record and site review audits
Knowledge of medical terminology standard medical practices, formal quality improvement process, and federal, state, accreditation regulations and standards
Chart review experience is required
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.