Clinical Nursing staff must have an active Florida license. Recent experience in data collection for HEDIS / Stars preferred. Determine member compliance according to the NCQA technical specifications. Computer skills are critical. Excellent verbal and phone skills are required. Communicate with provider, internal customers and external vendors. Organizational skills are very important ; must be able to work independently to complete tasks with minimal direction.
Position will include some administrative tasks to including but not limited to; faxing, and populating spreadsheets.
Required to track, monitor and report on the status of records and volume of work.
Requirements:
Active Florida Nursing License
Previous medical record review experience; HEDIS preferred
Medical Review Nurses: Quality review / disease management experience
AAAHC, Joint Commission, or Magnet experience is helpful
Proficient in Microsoft Word and Excel
Excellent communication skills
Successful completion of Excel test
All your information will be kept confidential according to EEO guidelines.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.