The job below is no longer available.

You might also like

in San Francisco, CA

Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location San Francisco, CA
San Francisco, California

About this job

Lead HEDIS Nurse needed for a contract to possible hire opportunity with Yoh's client located in San Francisco, CA.


Top Skills You Should Possess:



    - Leadership experience
    - HEDIS experience

What You'll Be Doing:



    - Supervise a project team of temporary HEDIS abstractors and coordinators (annually January-May)
    - Conduct medical record abstraction and over-read the team's data collection submissions and processes
    - Ensure HEDIS processes and outcomes comply with all National Committee on Quality Assurance (NCQA) requirements and technical specifications
    - Lead HEDIS clinical audit process, including documentation and responses to the auditors' requested data
    - Provide technical assistance to providers and clinics regarding medical record documentation improvement opportunities and process to close gaps in care in order to achieve the highest HEDIS rates possible

What You Need to Bring to the Table:



    - Bachelor's degree in Nursing required
    - California RN license without restriction required
    - At least 2 years of managed care or UM/QM experience, preferred
    - Experience working in quality management/improvement, preferred
    - Ability to provide excellent disease management support to members via telephone
    - Knowledge of state and federal insurance programs, preferred
    - Proficient in Computer and Microsoft Applications

What's In It For You?


We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh's network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh's extensive talent community that will provide you with access to Yoh's vast network of opportunities.



    - Medical, Dental & Vision Benefits
    - 401K Retirement Saving Plan
    - Life & Disability Insurance
    - Direct Deposit & weekly EPayroll
    - Employee Discount Programs
    - Referral Bonus Programs

What are you waiting for? Apply Now!


Recruiter: Annie Gill


Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more !


Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. to contact us if you are an individual with a disability and require accommodation in the application process.


J2W: HC


MONJOB



J2WNWHLTH

Ref: 1065193

SFSF: HC