GPRO RN

job
  • Medix
Job Summary
Location
Morristown ,NJ 07961
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
11 Dec 2024
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Job Description

Medix is currently hiring for a temporary part time Utilization Review RN position. This role does require traveling to different locations. This is a part time contract role running from Januray-March.
Responsibilities:

  • Review and abstract medical data from diverse sources including paper and electronic medical records
  • Review assigned medical records in order to abstract specified and required clinical data elements for GPRO reporting
  • Comply with appropriate procedures for scheduling, requesting, and reviewing records on-site
  • Performing complete and accurate data entry of qualifying services and results into proprietary software
  • Identifying and communicating patterns of missing documentation for the assessment of additional records
  • Routing all exclusions and complex issues to the Quality Manager or Project Manager
  • Communicate all project issues including scheduling, assignment, fax/mail correspondence, and supervisor alerts in a timely manner
  • Successfully completing GPRO Reviewer training
  • Successfully completing GPRO software training and using software correctly to facilitate accurate reporting and ongoing progress of the annual GPRO project
3-5 Must Have Skills/Qualifications
  • RN or LPN NJ license
  • Previous experience in medical record review, data abstraction, quality management, GPRO or HEDIS measures within the past 4 years
  • Strong clinical background with comprehensive experience
  • Understanding of codes for services based on diagnosis and procedure
  • Well versed w/ EMR
  • Graduate of an accredited School of Nursing

Schedule: Monday-Friday 8am-5pm (can work 1-3 days per week schedule is flexible)
Medix is acting as an Employment Business in relation to this vacancy.
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