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  • Clinical Quality RN/26/Nur111

    Adecco US, Inc. (Minneapolis, MN)



    Apply Now

    Adecco Healthcare & Life Sciences is currently looking to hire a Registered Nurse for their client .

     

    **Job Title:** Registered Nurse (RN) – HEDIS & Chart Review Specialist

    **Department:** Quality SDS Operations

    **Location:** Remote

    **Schedule:** Monday – Friday, 8:00 AM – 5:00 PM CST (After-hours and weekend work may be required)

    **Pay** - 47.36/HR

    Position Summary:

    We are Looking for a Registered Nurse (RN) with HEDIS and chart chase experience to support our Quality SDS Operations Department. This role is critical to ensuring high-quality data collection and abstraction for HEDIS and DSNP-related measures. The ideal candidate is detail-oriented, self-motivated, and thrives in a fast-paced, high-production environment.

     

    **Training:** 1–2 weeks of onboarding (limited time off during this period — to be discussed during the interview).

    Key Responsibilities:

    + Perform medical record review and abstraction for HEDIS and HEDIS-like measures.

    + Conduct data entry and data mining of market-specific clinical quality data.

    + Request and track medical records from provider offices.

    + Highlight HEDIS/Star opportunities in medical records.

    + Identify and communicate clinical trends and barriers impacting quality performance.

    + Review documentation to close gaps in care.

    + Maintain productivity and quality standards.

    + Navigate multiple EHRs/documentation systems to obtain required information.

    + Respond to clinical quality inquiries (phone, fax, email, etc.).

    + Attend required conference calls and complete HEDIS training modules.

    + Provide administrative and clerical support for special projects as needed.

    Required Qualifications:

    + Active RN license

    + Minimum 2 years of HEDIS experience

    + Experience with DSNP (Dual Special Needs Plans) and clinical quality programs

    + Strong experience in chart review and abstraction

    + Technically savvy with Microsoft Office (Word, Excel, PowerPoint, Adobe)

    + Excellent attention to detail, proofreading, and data accuracy

    + Strong organizational, prioritization, and time management skills

    + Excellent communication and critical thinking abilities

    + Ability to work independently in a remote, high-volume setting

    + HIPAA knowledge and commitment to patient data confidentiality

    **Pay Details:** $47.36 per hour

     

    Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

     

    Equal Opportunity Employer/Veterans/Disabled

     

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

    + The California Fair Chance Act

    + Los Angeles City Fair Chance Ordinance

    + Los Angeles County Fair Chance Ordinance for Employers

    + San Francisco Fair Chance Ordinance

    **Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

     


    Apply Now



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