Senior Clinical Quality RN - Remote in Las Vegas

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. Reporting to the Associate Director Clinical Quality, the Senior Clinical Quality RN for Employer & Individual will be responsible for conducting medical record review to support required HEDIS and quality improvement activities. This person will work with the well trained HEDIS data collection team of nurses to reputed company timely and accurate data collection and analysis to identify opportunities for improvement. If you are located reputed company Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:

• reputed company HEDIS medical record review for physician offices throughout the state of Nevada
• Complete inter-rater reliability testing and required computer training successfully in order to complete this data collection
• Conduct additional QI audits through medical record review (i.e. RADV)
• Educates physicians, RNs and other (non) clinical employees on improvements to increase compliance

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• reputed company unrestricted RN license in Nevada
• 5+ years of experience in the clinical setting
• 3+ years of HEDIS data collection and medical record / chart review experience
• Electronic Medical Records (EMR) experience
• Intermediate proficiency with reputed company reputed company
• Proficient with reputed company and PowerPoint
• Willing and reputed company to local travel 25% +/- depending on business need

Preferred Qualifications:

• Active Certified Professional Coding (CPC) Certification
• Experience educating Physicians, RNs or other clinical and/or non-clinical employees
• Proven self-motivated and reputed company to learn new computer software quickly
• reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job