Remote HEDIS LPN

Optum

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Requisition Number: 2211788
Job Category: Nursing
Primary Location: Eden Prairie, MN
(Remote considered)

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. 

 

The Clinical Quality LPN is responsible for direct provider outreach for year-round chart collection and abstraction. They assist with the coordination of HEDIS® and STARs data gathering and abstraction into Cozeva, DataRAP, and other applications as needed. This role partners with other Clinical Quality LPNs and the Supervisor of Quality Operations to ensure that medical record data is successfully retrieved and accurately abstracted.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

  

Primary Responsibilities: 

  • Outreach to provider offices to request medical record data
  • Act as a SME for data collection and HEDIS® questions, asked by provider offices
  • Review and abstract medical record data into appropriate application(s)
  • Follow up to offices that have failed to comply with a records request, or have sent incomplete chart documentation
  • Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings
  • Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS®/Star measures
  • Support hybrid chart chase processes by requesting records from provider offices as needed
  • Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines

  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications: 

  • Licensed Professional/Vocational Nurse
  • 2+ years of experience with data analysis/quality chart reviews. Must be able to review medical records and assess completeness
  • 1+ years provider outreach
  • 1+ years HEDIS®/STAR experience
  • Experience using Microsoft office applications, including databases, word-processing, and Excel® spreadsheets
  • Proven excellent communication practices, both oral and written

 

Preferred Qualifications:

  • Associate degree
  • Undergraduate degree or equivalent experience
  • Certified Professional Coder
  • 1+ years call center experience

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

  

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

  

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.