Registered Nurse Quality Assurance - Temporary RN

CareOregon•Portland, OR

1d•$102,330 - $125,070•Remote

About The Position

The Registered Nurse - Quality Assurance – Outreach’s main function is to work with the HEDIS Manager to perform telephonic outreach in support of HEDIS and Stars work, with the possibility of cross training for HEDIS chart abstraction.

Requirements

Current unrestricted license as a Registered Nurse in the State of Oregon
Minimum 3 years’ experience as an RN in the healthcare industry
Knowledge of or desire to learn about current clinical practices specifically chronic diseases and guidelines for health screenings and health maintenance
Ability to utilize a trauma-informed approach to provide member-centric support.
Ability to efficiently glean clinical information from a medical record, accurately document in the HEDIS or other specialized software, and save supporting documentation as instructed
Eagerness to sometimes search for the data equivalent of a needle in the haystack and also ability to move on if it is not found
Critical thinking skills
Strong attention to detail
Competency with computers and software programs, e.g. PDF, MS Outlook, Word, Excel, EMR systems
Ability to learn and adapt to new EMR systems, software programs, specification changes and deadlines
Ability to maintain strict confidentiality of protected health information
Awareness of the social determinants of health impacting CareOregon members and approaching interactions with clinics, members or CareOregon embedded staff with kindness and friendliness
Ability to work in an environment with diverse individuals and groups
Have a high degree of initiative and motivation along with ability to effectively collaborate and plan with co-workers and others
Ability to manage multiple tasks and flexibility to switch tasks as needed
Act professionally at all times when representing CareOregon
Ability to work under pressure and help the team meet deadlines for regulatory deliverables
Good written and verbal communication skills
Ability to prioritize work in a remote environment
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to stand and sit for at least 3-6 hours/day
Ability to speak clearly, bend, lift, carry, push, pull, and/or pinch small objects for at least 1-3 hours/day

Nice To Haves

Bachelor’s degree in Nursing
Knowledge or understanding of HEDIS and previous chart abstraction experience
Prior primary care and/or specialty clinic practice experience
RN experience with quality improvement, population health and/or case management

Responsibilities

Outreach to members in support of Stars measure gap closure and re-engagement.
Use evidence-based approaches to patient education regarding engagement and recommended health screenings.
Utilize a trauma-informed approach to provide member-centric support.
Assist in helping members move through the continuum of care based on clinical/medical need.
Make referrals to community partners as appropriate.
Complete chart reviews for regulatory and quality improvement projects as assigned.
Use various EMR systems, or PDF files to complete chart abstractions and enter data into a HEDIS specialized or other software.
Maintain a 95% accuracy rate in abstractions and data entry, validated through peer over-reads.
Communicate in a collaborative and professional manner with the CareOregon clinics, team members, and other CareOregon staff.
Complete and successfully pass yearly and on-going HEDIS training and testing, as required, to maintain up-to-date knowledge of HEDIS and other quality improvement measurement requirements for performing chart abstractions.
Participate in other projects, as assigned.
Perform work in alignment with the organization’s mission, vision and values.
Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support of the organization’s strategic goals.
Adhere to the organization’s policies, procedures and other relevant compliance needs.
Perform other duties as needed.