Quality Improvement RN

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• 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. 

Qualifications

• 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

Additional Information

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