Quality Improvement RN

• Completing large volume of medical record reviews – electronic chart reviews

• Reviewing and interpreting performance measures and documentation standards

• Utilizing computer applications for managing and tracking medical chart reviews

The Quality Improvement (QI) department objectively and systematically monitors and evaluates the quality, appropriateness, accessibility, and availability of safe and equitable medical and behavioral health care and services. To comply with regulatory and accreditation requirements, the QI department conducts annual medical record audits in physician offices members to ensure compliance with clinical care guidelines and documentation standards. Healthcare Effectiveness Data and Information Set (HEDIS) review is performed annually by the health plan and is managed by the QI department. HEDIS consists of a set of performance measures focused on preventive care and access to care.

• Must be a licensed RN in the state submitted

• Great Excel/Computer skills

• Highly preferred: At least 1 year clinical (acute care, ambulatory care, SNF, ICF, or home health) experience

• Highly preferred: Experience working in Primary Care Physician/Specialist office

• Highly preferred: Experience with medical record reviews/audits

Are you a Pharmacy Technician in Indianapolis area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered “yes” to any of these questions – this is the position for you!

If interested, call Courtney Phelps at 407-636-7030 Ext 207 or cphelps@healthcaresupport