Providence Health & Services RN - HEDIS Clinical Audit Coordinator in Beaverton, Oregon
Providence is calling an on-call RN - HEDIS Clinical Audit Coordinator to Providence Health Plan in Beaverton, OR. This position will work full-time from February through end of May to support the HEDIS program. Additional work may be available intermittently in the on-call status.
In this position, you 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.
Have audits that include review of outpatient medical records, hospital records, clinical lab and pharmacy records. B Collect data based on standardized methodologies and organize the data to identify and address opportunities for improvement.
Be on-call and much of the work is seasonal.
Perform chart audits electronically or on site in physician practices during the audit season, which runs approximately February through mid-May.
Successfully complete HEDIS training prior to performing chart abstractions. Direction regarding charts require auditing will be provided by staff Clinical QI Coordinator RNs.
Maintain all collected records in a confidential manner.
Communicate in a collaborative manner with clinic and other staff with whom they interact, in a manner that represents Sisters of Providence.
Required qualifications for this position include:
Degree in nursing
Licensed Registered Nurse (RN) in OR
5 years of clinical experience
1 year of quality management/quality improvement/utilization review auditing experience
Preferred qualifications for this position include:
Bachelor's of Science in Nursing (BSN)
Experience in auditing within electronic health records
Experience with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Quality Nursing
Req ID: 178899