( QM Nurse Consultant ) Aetna Jobs, Aetna Remote Nursing Jobs @ Apply For This Post
Job Responsibilities: QM Nurse Consultant
Salary: $20-30/Hour
Company: Aetna
Location: Tennessee, USA
Educational Requirements: Bachelor’s Degree
About Company: Aetna Inc. is an American overseen medical organization that sells customary and customer coordinated medical services protection and related administrations, like clinical, drug, dental, conduct wellbeing.
( QM Nurse Consultant ) Aetna Jobs, Aetna Remote Nursing Jobs @ Apply For This Post
Full Job Description :
Up-and-comers who live in Territory of Arizona will be expected to travel. Up-and-comer should have dependable transportation and be willing and ready to drive inside doled out geographic region (limit of 60 miles) around 25-half of the time.
The QM Medical caretaker Expert is a work at home job. Experienced HEDIS record survey attendant will be answerable for getting, investigating, abstracting, and information entering clinical records used for HEDIS supplemental information processes. Up-and-comer should grasp the NCQA HEDIS ® specialized details for the assigned HEDIS ® supplemental information measures, have the option to apply comprehension of the specialized determinations in the process to survey, unique, and information enter supplemental information, team up with the wellbeing plan HEDIS ® project chiefs and other wellbeing plan divisions (which might incorporate yet isn’t restricted to part benefits, supplier relations and coordinated care the board) to accomplish the shared objective of further developing part results, as estimated by the HEDIS/STAR measures. Should be open to getting to an assortment of EMR frameworks from a distance to get and digest clinical record information per determinations. ( QM Nurse Consultant ) Aetna Jobs, Aetna Remote Nursing Jobs.
- If inside the Province of Arizona, may have to direct nearby visits to get, survey, conceptual, and information enter all clinical record information for enormous gatherings/bunches that demand an on location visit.
- Audits documentation and edited compositions agreeable clinical record information for passage into supplemental information instrument.
- Commonplace office working climate with efficiency and quality assumptions.
- Proficient client support disposition an or more as staff might be expected to contact the suppliers of record, merchants, or interior Aetna divisions to get extra data.
- Orders a far reaching information on NCQA HEDIS and STARS Measures for both Government medical care and Medicaid, with late involvement with the yearly HEDIS review.
- Staff will deal with various electronic instruments and should be alright with innovation and Microsoft Word, Adobe Tumbler, and Windows 10.
- Elevated degree of exactness and tender loving care are an unquestionable requirement for this position.
- The ideal competitor is self-roused and happy with working under close cutoff times.
- Proficient attitude, great hard working attitude, and self-spurred
- Upright issue solver, able to learn, invests wholeheartedly in their work execution/precision
- Demonstrated hierarchical and time usage abilities required
- Great verbal relational abilities clear, brief and suitable required
- Experience with an assortment of EMR frameworks exceptionally liked.
- PC education and exhibited capability is liked to explore through inside/outer PC frameworks, Adobe, and MS Office Suite applications, including Word and Succeed.
- Telecommuting requires the capacity to self-spurred and be a proactive worker. Volume and precision assumptions will be conveyed and are supposed to be met. Work requires the capacity to peruse and decipher clinical record documentation, both PC produced and transcribed. Siting at a workstation for expanded timeframes composing on the PC. Capacity to perform various tasks, focus on and really adjust to a speedy evolving climate. Position requires capability with PC abilities which incorporates exploring different frameworks and keyboarding. Powerful relational abilities, both verbal and composed.
Required Capabilities:
- Dynamic and unhindered Arizona or smaller state RN permit required
- 3+ years clinical experience
- 3+ years experience perusing and deciphering clinical records, including written by hand records
- 3+ years experience recording electronically utilizing console and various PC screens-exploring through inside/outside PC frameworks, and MS Office Suite applications, including Word and Succeed
Favored Capabilities:
- 3+ long periods of Clinical Record Survey insight with HEDIS-explicit measure audit is exceptionally liked
- 1+ years Involvement in an assortment of EMR frameworks exceptionally liked
- Favored Arizona residency
Training:
- Unhitched males Degree, Nursing or Higher required
Business Outline:
Carry your heart to CVS Wellbeing All of us at CVS Wellbeing shares a solitary, clear reason: Carrying our heart to each snapshot of your wellbeing. This reason directs our obligation to convey upgraded human-driven medical care for a quickly influencing world. Secured in our image — with heart at its middle — our motivation sends an individual message that how we convey our administrations is similarly pretty much as significant as what we convey. Our Heart At Work Ways of behaving support this reason. We need each and every individual who works at CVS Wellbeing to feel engaged by the job they play in changing our way of life and speeding up our capacity to advance and convey answers for make medical services more private, advantageous and reasonable. We endeavor to advance and support a culture of variety, consideration and having a place consistently.
CVS Wellbeing is a governmental policy regarding minorities in society manager, and is an equivalent open door boss, similar to the doctor claimed organizations for which CVS Wellbeing gives the board administrations. We don’t segregate in enrolling, employing, advancement, or some other faculty activity in light of race, identity, variety, public beginning, sex/orientation, sexual direction, orientation personality or articulation, religion, age, handicap, safeguarded veteran status, or some other trademark safeguarded by material government, state, or neighborhood regulation. We gladly support and empower individuals with military experience (dynamic, veterans, reservists and Public Watchman) as well as military mates to go after CVS Wellbeing position valuable open doors.
Aetna Jobs, Aetna Remote Nursing Jobs
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