Licensed Practical Nurse
The Judge Group Inc.

Job Info

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Location: San Antonio, TX
Salary: Depends on Experience
Description: Our client is seeking a Licensed Practical Nurse in San Antonio, Texas!

Are you a Licensed Practical Nurse (LPN) with exceptional critical thinking skills and a results-driven mindset? Do you thrive as an independent worker and self-starter? If you have HEDIS and Chart Chase experience, along with expertise in HEDIS®, DSNP, and Quality, we want you on our team!

Job Title: Licensed Practical Nurse

Job Type: Contract

Location: San Antonio, Texas

Hours: 8:00 AM - 5:00 PM (Monday - Friday)

Rate: Competitive & Dependent on Experience

Job Responsibilities:

• Reviews assigned medical records to verify clinical data elements for HEDIS reporting.
• Identifies findings supported by documentation guidelines with a high level of accuracy.
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
• Prioritizes and organizes own work to meet agreed-upon deadlines.
• Communicates identification of pursuit leads for additional medical records, if needed, to other team members.
• Attends conference calls as necessary to provide information relating to clinical reviews and compliance.
• Successfully completes HEDIS technical specification training and testing.
• Successfully completes HEDIS software training and uses the software correctly.
• Performs other duties as assigned.

Required Qualifications:

• Licensed Practical Nurse (LPN)
• Minimum 2 years of HEDIS experience and/or knowledge
• Solid knowledge of managed care requirements related to clinical quality
• Strong medical record review and abstraction skills preferred
• Research and detail-oriented with excellent proofreading skills
• Excellent time management and prioritization skills
• Strong communication skills
• Proficiency with Microsoft Office applications, including Word, Excel, Adobe, and PowerPoint
• Critical thinking skills
• Results-driven, independent worker, and self-starter

In this role, you will assist in reviewing medical records to identify Star/HEDIS opportunities, ensuring data collection, entry, and quality monitoring to close gaps in care. You'll collaborate with leadership and clinical staff to identify trends and develop strategies, while communicating any challenges that may impact quality outcomes. Additionally, you'll conduct in-bound and out-bound calls for quality requirements, provide clerical and administrative support for special projects, and deliver excellent customer service. Maintaining a strong knowledge base of HEDIS/STARs and performing data mining are also key aspects of this role.

Send us your resume for immediate consideration!

Contact: mgautreau@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

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