Nurse Consultant I (HEDIS) - (Lee's Summit, MO)

GEHA is a leader in health services for federal employees and related customers, serving our chosen markets with low-cost offerings and best-in-class customer care, sustained by a nimble and efficient organization. The Nurse Consultant with a HEDIS focus is responsible for reviewing medical records for the annual HEDIS project. The HEDIS nurse documents all HEDIS related items on a regular basis. Reviews and integrates medical details from electronic and paper medical records in a timely manner. Participates in medical record collection, requests and abstracts appropriate medical records, assessing for assigned categories as needed. Reviews assigned medical records in order to abstract specified and required clinical data elements for HEDIS reporting. The nurse must participate in HEDIS training and pass medical record review abstraction training. Performs other duties as assigned.