
Clinical Quality RN
Review and abstract medical record data into appropriate application(s). Primary source verify abstracted medical record data. Over read abstracted and verified medical record data. Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings. Provide education and feedback to primary source verifiers and/or abstractors. Support chart chase processes by requesting records from provider offices as needed. Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures. Support and improve communications between market and corporate departments. Maintain education/knowledge base of HEDIS®/STARs standards and guidelines. Assist with process improvement.
Registered Nurse
3+ years of experience with data analysis/quality chart reviews.
Able to review data and provide recommendations for improvement
2+ years of HEDIS®/STAR experience
Ability to be flexible in a continuously changing environment
Data Analysis
MS Word
MS PowerPoint
Time Management Skills
Excellent presentation skills
Excel spreadsheets
Prioritizing skills
Problem Solving Skills
Flexibility/Adaptability
Detail Oriented and Organized
Process Oriented
Verbal and Written Communication
Multi tasker
According to JobzMall, the average salary range for a Clinical Quality RN in 12700 Whitewater Dr, Minnetonka, MN 55343, USA is $89,049 to $118,723 per year. This salary range is based on the salary estimates of similar positions in the same area.
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UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.

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