Providence
USA
Description
Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:
Be responsible for conducting clinical quality audits for the Quality Department
Identify and coordinate clinical audits to determine potential areas for quality improvement within the PHP network
Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program
Conduct Audits, which include review of outpatient medical records, hospital records, clinical lab and pharmacy records
Be responsible for...