Medix is currently hiring for a temporary part time Utilization Review RN position. This role does require traveling to different locations.

Responsibilities:

Review and abstract medical data from diverse sources including paper and electronic medical records
Review assigned medical records in order to abstract specified and required clinical data elements for GPRO reporting
Comply with appropriate procedures for scheduling, requesting, and reviewing records on-site
Performing complete and accurate data entry of qualifying services and results into proprietary software
Identifying and communicating patterns of missing documentation for the assessment of additional records
Routing all exclusions and complex issues to the Quality Manager or Project Manager
Communicate all project issues including scheduling, assignment, fax/mail correspondence, and supervisor alerts in a timely manner
Successfully completing GPRO Reviewer training
Successfully completing GPRO software training and using software correctly to facilitate accurate reporting and ongoing progress of the annual GPRO project

3-5 Must Have Skills/Qualifications

RN or LPN NJ license
Previous experience in medical record review, data abstraction, quality management, GPRO or HEDIS measures within the past 4 years
Strong clinical background with comprehensive experience
Understanding of codes for services based on diagnosis and procedure
Well versed w/ EMR
Graduate of an accredited School of Nursing

Schedule: Monday-Friday 8am-5pm (can work 1-3 days per week schedule is flexible)

Medix is acting as an Employment Business in relation to this vacancy.

GPRO RN