Experienced QM Nurse Consultant for bolthires Remote Jobs – $25-$40/Hour, Full-Time Opportunity

Remote Full-time
Join bolthires and Make a Difference in HealthcareAt bolthires, we're driven by a singular purpose: bringing our heart to every moment of your health. Our mission is to deliver improved, human-driven healthcare for a rapidly changing world. As a valued member of our team, you'll be empowered to play a vital role in transforming our culture and accelerating our ability to grow and deliver solutions that make healthcare more personal, convenient, and affordable.About theRole: QM Nurse ConsultantWe're seeking an experienced QM Nurse Consultant to on a full-time, remote basis.As a QM Nurse Consultant, you'll play a critical role in reviewing, abstracting, and data entering clinical records for HEDIS supplemental data processes. This is an exciting opportunity to work with a dynamic team and make a meaningful contribution to improving member outcomes, as measured by HEDIS/STAR measures. Key Responsibilities:• Review, abstract, and data enter clinical records for HEDIS supplemental data processes, utilizing various EMR systems.• Apply knowledge of NCQA HEDIS technical specifications to survey, abstract, and data enter supplemental data.• Collaborate with health plan HEDIS project directors and other health plan departments to achieve shared goals.• Conduct local visits to acquire, review, abstract, and data enter clinical record data for large groups/clusters, as required (for Arizona-based candidates).• Survey documentation and abstract consistent clinical record data for entry into supplemental data tools.• Maintain a professional client support demeanor, contacting providers of record, vendors, or internal bolthires departments to obtain additional information, as needed.• Utilize various electronic tools, including bolthires Word, Adobe Acrobat, and Windows 10.• Demonstrate a high degree of accuracy and attention to detail, meeting productivity and quality expectations.EssentialQualifications:• Current and unlimited Arizona or compact state RN license.• 3+ years of clinical experience.• 3+ years of experience reading and interpreting clinical records, including handwritten records.• 3+ years of experience recording electronically using keyboard and various PC screens, navigating through internal/external PC systems, and MS Office Suite applications, including Word and Excel.• Strong analytical and problem-solving skills.• Excellent verbal communication skills, with the ability to convey clear, concise, and relevant information.• Proficient in PC skills, including navigating different systems and keyboarding.PreferredQualifications:• Clinical Record Review and HEDIS Experience.• Experience with various EMR systems.• PC proficiency and demonstrated ability to navigate through internal/external PC systems, Adobe, and MS Office Suite applications.What We Offer:As a bolthires team member, you'll enjoy a comprehensive benefits package, including competitive compensation ($25-$40/hour), opportunities for career growth and development, and a dynamic work environment that fosters collaboration and innovation.Our remote work arrangement allows you to work from anywhere in the U.S., with the flexibility to manage your work-life balance. Career Growth and Development:At bolthires, we're committed to helping our team members grow and develop in their careers. As a QM Nurse Consultant, you'll have opportunities to:• Develop your skills and expertise in HEDIS and clinical record review.• Collaborate with cross-functional teams to drive business outcomes.• Participate in training and development programs to enhance your knowledge and skills.Our Culture:At bolthires, we're passionate about creating a culture that is inclusive, diverse, and supportive. Our Heart At Work Behaviors guide our interactions with each other and with our customers, ensuring that we're delivering care that's personal, convenient, and affordable. Why Join Us?If you're a motivated and detail-oriented professional looking for a challenging and rewarding opportunity, we want to hear from you. As a QM Nurse Consultant, you'll play a critical role in driving business outcomes and improving member outcomes.and make a meaningful contribution to the healthcare industry.Ready to Apply?If you believe you have what it takes to excel in this role, today. We're excited to hear from talented candidates like you!Equal Employment Opportunity: bolthires is an equal employment opportunity employer, committed to diversity and inclusion in the workplace. Apply tot his job Apply tot his job
Apply Now

Similar Opportunities

Patient Care Aide – bolthires in Virginia Beach ($27-$35/hour)

Remote Full-time

Transition of Care Coordinator – Remote Opportunity with bolthires at $27/Hour

Remote Full-time

bolthires Commercial Clinical Program Consultant – Eastern US Region

Remote Full-time

bolthires Commercial Clinical Program Consultant - Western US Region

Remote Full-time

RN (Registered Nurse)

Remote Full-time

Case Manager Registered Nurse - Field - Must reside near Reston Virginia

Remote Full-time

Registered Nurse Job Opening

Remote Full-time

Workers Compensation QRC Qualified Rehabilitation Consultant RN Registered Nurse - 58068BR

Remote Full-time

UM Nurse Consultant

Remote Full-time

Home Health Nurse LPN or RN

Remote Full-time

Merchandising Assistant

Remote Full-time

Freelance Writing Jobs from Home – No Experience or Degree Required | Self-Publish Nonfiction Books and Earn Passive Royalties

Remote Full-time

Experienced Remote Data Entry Specialist – Career Development Opportunity in Data Management and Organization

Remote Full-time

Experienced Full Stack Data Entry Specialist – Remote Opportunity with arenaflex

Remote Full-time

Experienced Data Entry Specialist – Remote Opportunity at arenaflex

Remote Full-time

Experienced Senior Data Analyst – Remote Full-Time Opportunity in Data Entry and Analysis with arenaflex, Offering $75,000/Year

Remote Full-time

Pro Bono Law Clerk

Remote Full-time

(No Degree Needed) bolthires Virtual Assistant Job - Immediate Hiring

Remote Full-time

Associate/China focus (Antitrust & Competition Economics) - (Mandarin Required)

Remote Full-time

Experienced Customer Service Representative for Leading Digital Transformation - Remote Work Opportunity with arenaflex

Remote Full-time
← Back to Home