Clinical Quality HEDIS RN - West Valley, Utah

Requirements:

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  Current unrestricted RN license in the state of Nevada required


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  Nursing Diploma or equivalent required. 


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  2+ years Clinical Quality experience (Prefer managed care setting)


• Previous Medical record/chart  review experience in a non-clinical setting required


• Previous experience educating Physicians, RNs or other clinical and/or non-clinical employees


• Electronic Medical Records (EMR) experience


• Must be self motivated and able to learn new computer software quickly


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  Must be comfortable and proficient in being trained on a data collection software that allows the person to collect and record medical record information accurately on a timely basis.


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  Ability to demonstrate knowledge and to apply to job functions, those state and federal laws and regulations applicable to the operation unit.


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  Strong interpersonal skills, verbal and written skills required.


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  Ability to complete medical record review using electronic systems critical to this position.


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  Ability to contribute to the organization's efforts to eliminate the racial and ethnic disparities in organizational performance.


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  Skilled in use of computers including MS Windows, Excel, Word, and PowerPoint.


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  Must complete all pre-employment evaluation tests.

Preferred Experience:

• Bachelors degree highly preferred


• Previous HEDIS data collection experience highly preferred


• Medical Record Audit Experience a Plus (medical record review and capturing/documenting appropriate clinical information needed to assure compliance).


• Managed care/Health plan experience preferred
  

UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple...and it's that challenging.

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

key words: HEDIS, quality, RN, registered nurse, West Valley, Salt Lake City, Utah, UT, medical records, chart review, managed care, health plan, clinical quality, Medicare