HEDIS Nurse Job Description Template
The HEDIS Nurse will be responsible for ensuring the health care organization's compliance with HEDIS quality measures. The nurse will collect data and complete paperwork related to HEDIS measures, as well as coordinate with other departments to ensure all required information is collected. This position requires excellent organizational skills and the ability to work independently.
HEDIS Nurse Job Responsibilities
- The HEDIS Nurse is responsible for ensuring that health plans submit accurate and complete data to HEDIS, the Healthcare Effectiveness Data and Information Set.
- The HEDIS Nurse reviews medical records to ensure that appropriate clinical services were provided and documented.
- The HEDIS Nurse educates health plan staff on HEDIS requirements and provides feedback on improving data submissions.
- The HEDIS Nurse works with health plans to develop policies and procedures related to HEDIS data submission and reporting.
- The HEDIS Nurse monitors trends in healthcare quality measures and makes recommendations for improvement.
Objectives
- To ensure that all HEDIS quality measures are met for each patient.
- To develop and implement HEDISrelated educational materials and programs for staff and patients.
- To serve as a liaison between the health plan and providers to ensure that HEDIS data is accurately reported.
- To monitor HEDIS performance data on a regular basis and identify opportunities for improvement.
- To work collaboratively with other members of the care team to improve patient outcomes and meet quality targets.
HEDIS Nurse Job Skills & Qualifications Needed
- A HEDIS nurse should have a strong understanding of quality improvement initiatives and be able to effectively communicate with healthcare providers. They should also have experience working with data and be able to identify trends.