Hedis Nurse Resume Samples
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Hedis Nurse Resume Samples
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MT
M Turcotte
Madge
Turcotte
49713 Darryl Squares
Chicago
IL
+1 (555) 489 8632
49713 Darryl Squares
Chicago
IL
Phone
p
+1 (555) 489 8632
Experience
Experience
Chicago, IL
Hedis Quality Nurse VSP
Chicago, IL
Hermann Inc
Chicago, IL
Hedis Quality Nurse VSP
- Collection and abstraction of annual HEDIS data: includes researching member/provider data in internal computer systems
- Interact with Commercial and Medicare Market leaders, other departments, and the community to promote Humana programs and strategic initiatives
- Active unrestricted Wisconsin RN license
- Active RN license in the state of practice
- Bilingual is a plus
- Responsible for medical record extraction
- Manage a high caseload and high volume of telephonic interaction with provider offices
Chicago, IL
Hedis Quality Nurse, VSP
Chicago, IL
Waelchi-Hilll
Chicago, IL
Hedis Quality Nurse, VSP
- Participate in special projects including participation in work groups and/or task forces may include but are not limited to coordination of continuity of care, HEDIS coordination, CAHPS, community outreach and partnerships, etc
- Active unrestricted Illinois RN license
- Collection, abstraction and research of annual HEDIS data. May include HEDIS on-site chart reviews
- Active unrestricted New York RN license
- Schedule appoints with providers' offices within a designated territory
- RN or LPN
- Educated on Medicaid and Medicare $
present
San Francisco, CA
Rn-hedis Quality Operations & Accreditation Nurse
San Francisco, CA
Flatley-Reynolds
present
San Francisco, CA
Rn-hedis Quality Operations & Accreditation Nurse
present
- Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces change, and constructively resolves barriers and constraints
- Recommend actions for Humana Plan providers which would have a positive effect on their HEDIS and CAHPS scores
- Active unrestricted RN license
- Address any quality of care concerns for our members in the assigned territory:Research and investigation of member dissatisfactions/complaints for quality of care
- Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments, and takes responsibility for the impact of one's actions
- Medical record reviews for Quality of Care issues
- Knowledge of HEDIS specifications and data collection
Education
Education
Bachelor’s Degree
Bachelor’s Degree
Clark Atlanta University
Bachelor’s Degree
Skills
Skills
- Strong attention to detail Highly organized
- Strong medical skills and knowledge
- Basic Excel skills and the ability to type 30-40 WPM
- Strong knowledge of HEDIS/qarr
- Excellent attention to detail
- Strong attention to detail
- Polished and professional demeanor
- Available on November 2 and 3 to attend training classes
- RN, LPN, or Foreign MD/Doctor, Physician with medical record chart review, quality, performance improvement, case management, MDS, or Informatics experience
- Solid analytical and research skills
2 Hedis Nurse resume templates
Read our complete resume writing guides
1
Hedis Nurse Resume Examples & Samples
- Current NJS Registered Nurse (RN) license
- Previous Chart Review experience
- Experience working in various EMR systems
2
Hedis Nurse Resume Examples & Samples
- Current New Jersey State RN or LPN License, or Foreign MD
- Solid communication skills
- Related experience
3
Hedis Nurse Resume Examples & Samples
- Computer savvy and analysis capabilities in order to navigate CPT4 code and ICD9 DX based on HEDIS Technical Specification requirements
- Knowledge of Microsoft Office
- Strong attention to detail Highly organized
- Prior HEDIS experience
- Microsoft Excel proficient
4
Hedis Nurse Resume Examples & Samples
- QARR/HEDDIS training with 2 years of experience
- Comfortable with some travel to doctors' offices
- Educated on Medicaid and Medicare $
5
Hedis Nurse Resume Examples & Samples
- 1-4 years of experience as an RN or LPN
- Previous managed care experience
- Strong knowledge of HEDIS/qarr
6
Hedis Quality Nurse, VSP Resume Examples & Samples
- Collection, abstraction and research of annual HEDIS data. May include HEDIS on-site chart reviews
- Recommend actions for Humana Plan providers which would have a positive effect on their HEDIS and CAHPS scores
- This role is a VSP: Variable Staffing Pool are Associates who work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week
- Active unrestricted Illinois RN license
- Minimum of 5 years or more of prior clinical experience
- Strong computer skills and knowledge of Microsoft Word, Outlook and Excel
- Prior HEDIS experience or knowledge of HEDIS specifications and data collection
- Medical record reviews for Quality of Care issues
- Previous Medicare, Medicaid/Commercial Health Plan experience
7
Hedis Quality Nurse VSP Resume Examples & Samples
- Collection and abstraction of annual HEDIS data: includes researching member/provider data in internal computer systems
- Interact with Commercial and Medicare Market leaders, other departments, and the community to promote Humana programs and strategic initiatives
- Participate in special projects including participation in work groups and/or task forces may include but are not limited to coordination of continuity of care, HEDIS coordination, CAHPS, community outreach and partnerships, etc
- This role is a VSP position: Variable Staffing Pool are Associates who work flexible hours to meet business needs, with no guaranteed minimum or maximum number of hours in any week
- HEDIS data collection experience
- Active unrestricted Wisconsin RN license
- Prior clinical experience
- Valid driver's license and/or dependable transportation necessary
- Excellent computer skills and knowledge of Microsoft Word and Excel
8
Hedis Nurse Resume Examples & Samples
- RN, LPN, or LVN
- Strong computer skills and analysis capabilities
- Exceptional research skills
- Ability to take direction
- Demonstrates professionalism at all times $
9
Hedis Nurse Resume Examples & Samples
- Active Registered Nurse license or Practice Nurse license
- Demonstrated critical thinking skills
- Experience with Case Management, MDS, Utilization Management, and HEDIS
10
Hedis Quality Nurse VSP Resume Examples & Samples
- Active RN license in the state of practice
- 3 years of more of prior clinical experience
- Experience working with medical records in a healthcare setting
- Knowledge of HEDIS or other clinical regulatory measures/requirements
- HEDIS knowledge/experience highly desired
11
Hedis Nurse Resume Examples & Samples
- 2+ years' experience with HEDIS medical record abstraction
- 100 percent pass rate on provided HEDIS testing
- History of working with different electronic medical records
- Working knowledge of Excel and Adobe
- Ability to work comfortably with all types of EMR
12
Hedis Nurse Abstractor Resume Examples & Samples
- Prior HEDIS/QARR project experience
- Advanced Microsoft Excel skills
- Solid understanding of codes
- Experience working with QSHR/Inovalon HEDIS system
13
Hedis Nurse Resume Examples & Samples
- Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN)
- Licensed professional graduate of an accredited School of Nursing
- Prior HEDIS, MDS, Case Management or Utilization Management experience
14
Hedis Nurse Abstractor Resume Examples & Samples
- Strong computer skills
- Research- and detail-oriented
- Proficiency with Microsoft Office products
15
Rn-hedis Quality Operations & Accreditation Nurse Resume Examples & Samples
- Address any quality of care concerns for our members in the assigned territory:Research and investigation of member dissatisfactions/complaints for quality of care
- Excellent computer skills and knowledge of Microsoft Word, Excel and Access
- Knowledge of HEDIS specifications and data collection
- Previous Medicare/Commercial Health Plan experience
- Previous experience in quality or utilization management
16
Hedis Nurse Resume Examples & Samples
- 1+ year of prior HEDIS experience
- NYS Registered Nurse (RN) and/or Licensed Practical Nurse (LPN)
- Previous experience with Chart Review
17
Hedis Abstractor Nurse Resume Examples & Samples
- Nursing Degree
- Knowledge of CPT4 code and ICD9 DX
- Exceptional written and verbal communication skills
- Basic Excel skills
- Ability to type 30-40 WPM
18
Hedis Abstractor Nurse Resume Examples & Samples
- Current New York State Registered Nurse, Practical Nurse license or Foreign MD
- Exceptional computer skills (40 wpm) in order to navigate CPT4 code and ICD9/10 DX
- Knowledge of Microsoft office /Suite proficient
- HEDIS background
19
Field Hedis Nurse Resume Examples & Samples
- Coding/chart review experience
- Great organizational skills
- Familiar with medical records
20
Hedis Nurse Abstractor Resume Examples & Samples
- Active Registered or Practical Nurse license
- Demonstrated computer skills and analysis capabilities in order to navigate CPT4 code and ICD9/10 DX based on HEDIS Technical Specification requirements
- Research and detail-oriented with the tenacity to find claim-specific data for a specific measure within a given period of time
- Prior HEDIS
21
Hedis Nurse Reviewer Resume Examples & Samples
- 1+ year of previous HEDIS or Chart Review experience in a Health-related field or environment
- NYS Registered Nurse (RN) license and/or Licensed Practical Nurse (LPN)
- Microsoft Office/Suite proficient (Excel, Word, etc.)
22
Hedis Abstractor Nurse Resume Examples & Samples
- Licensed professional graduate of an accredited school of nursing
- Demonstrated computer skills and analysis capabilities in order to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements
- Research- and detail-oriented with the tenacity to find claim-specific data for a specific measure within a given period of time
- Knowledge of Microsoft office is required. Requires effective written, oral, and interpersonal communication skills
- Basic Excel skills and the ability to type 30-40 WPM
23
Hedis Abstractor Nurse Resume Examples & Samples
- Active RN, LPN, or LVN
- Chart audit experience
- Ability to navigate CPT4 code and ICD9 and ICD10 DX based on HEDIS Technical Specification requirements
- Ability to decipher and abstract specific clinical data from the medical record
- Intermediate knowledge of Excel and Word
- 1 year of HEDIS abstraction/over-read experience
24
Hedis Nurse Resume Examples & Samples
- 1+ year of a related work experience
- Current NYS Registered Nurse (RN) license and/or Licensed Practical nurse (LPN)
- Exceptional analytical and critical thinking skills
25
Hedis Abstractor Nurse Resume Examples & Samples
- Current FL Registered Nurse (RN) or Licensed Practical Nurse (LPN) license
- Solid analytical and research skills
- Previous HEDIS experience
26
Hedis Review Nurse Resume Examples & Samples
- 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
- Requires a licensed nurse; RN, LPN, LVN and 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
27
Hedis Review Nurse Resume Examples & Samples
- Responsible for retrieval (from providers' offices), review (analyze) and abstraction of medical record data - input into database
- One to Four years of experience with HEDIS Review and/or Auditing required
- Candidates must be computer proficient 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
- Knowledge of HIPAA rules and regulations - strong written, verbal, and personal communication skills
- Nurses must research and detail oriented with the tenacity to find claim specific data for a specific measure within a given period of time
28
Hedis Review Nurse Resume Examples & Samples
- Requires a licensed nurse; RN, LPN, LVN (accredited school of nursing)
- One to Three years of experience with HEDIS Review and/or Auditing required
- Candidates must be computer efficient and must be able to navigate computer programs effectively
29
Hedis Nurse Resume Examples & Samples
- Schedule appoints with providers' offices within a designated territory
- Responsible for medical record extraction
- Candidate will be required to send documents to Anthem via a correspondence delivery system to be determined by the department (i.e
- Requires a licensed nurse and must be active for the state in which they will be working; RN, LPN, LVN, Licensed professional graduate
30
RN Hedis Nurse Team Lead Resume Examples & Samples
- Bachelors degree
- Three to five years of quality management/quality improvement/performance improvement experience preferred
- Managed care and/or other healthcare service delivery experience preferred
- Self-starter
- Excellent time management, project management, organizational, research, analytical, negotiation, communication, and interpersonal skills
- Ability to work in a fast paced environment, multi-task, and identify work priorities
- Proficient in Microsoft Office applications
- Database management skills preferred
