HEDIS RN – Clinical Quality Reviewer
Manhattan, NY | 6 Openings | Hybrid | Full-Time
HumanEdge Healthcare Staffing is recruiting experienced HEDIS Registered Nurses for clinical quality review opportunities with a leading NYC health plan.
This is an excellent opportunity for nurses with hands-on HEDIS medical record abstraction experience who enjoy clinical quality improvement and administrative nursing.
Schedule
- Tuesday–Thursday: On-site in Manhattan, 100 Church Street.
- Monday and Friday: Remote.
- Hours: 8:30 AM–5 PM.
Responsibilities
- Perform medical record abstraction for HEDIS quality measures.
- Review clinical documentation for accuracy and completeness.
- Identify care gaps and support quality reporting.
- Maintain abstraction accuracy and productivity standards.
- Collaborate with quality improvement and clinical teams.
Non-Negotiable Requirements
- Active RN license.
- Minimum 1 year of HEDIS medical record review/abstraction experience.
- Working experience with all three measures:
- BCS-E – Breast Cancer Screening.
- COL-E – Colorectal Cancer Screening.
- EED – Eye Exam for Patients With Diabetes.
- Ability to commute to Manhattan Tuesday–Thursday.
Assignment: Contract opportunity, minimum six months.
Important: General utilization review, chart review, or infection prevention abstraction alone does not substitute for the required HEDIS experience.
HEDIS RN Clinical Quality Reviewer in Manhattan at HumanEdge
- Typical pay
- $85,280–$135,200
For context, most registered nurses earn between $85,280–$135,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as contract and able to be worked remotely. It was posted 6 days ago.