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Quality HEDIS-STAR Nurse - JHP at Thomas Jefferson University - ApplyBlast

Quality HEDIS-STAR Nurse - JHP

Thomas Jefferson University

14 days ago

3.6 on Glassdoor

Philadelphia, Pennsylvania, United States

Onsite

Full Time

Medior

0 applicants

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About this role

The Clinical STARS-HEDIS Specialist provides clinical support to the Quality Management department to assist with Care Gap Closure and drive organizational performance in Stars, HEDIS, NCQA Accreditation, CAHPS, and PCMH. The role involves conducting provider outreach calls, performing medical record reviews, and collaborating with internal departments to resolve quality issues. This position requires a licensed Registered Nurse with experience in managed care or quality review to ensure adherence to clinical and regulatory objectives.

Responsibilities

Conduct provider outreach calls to complete clinical and quality assessments
Perform medical record reviews to identify care gaps and adherence issues
Collaborate with internal departments to resolve quality issues and concerns

Skills

Qualifications

Bachelor’s Degree in NursingRN - Licensed Registered NurseDriver's License

About Thomas Jefferson University

jefferson.edu

Headquarters

Philadelphia, Pennsylvania, United States

Company Size

10001+ employees

Founded

1824

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At Thomas Jefferson University in Philadelphia, PA, we are helping you to redefine what’s possible with innovative and tailored education opportunities.