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Clinical Quality LPN - Remote in IN, OH, KS, WI or MO

Remote role Full-time Open position

For those who want to invent the future of health care, here's your opportunity. We're going reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. OptumCare is a rapidly growing national, integrated health care organization that helps physicians and other providers deliver the right care at the right time in the right setting. We design and manage delivery systems in markets where we can reputed company the Quadruple Aim - a reputed company patient experience, higher quality care, reputed company costs, and a reputed company experience for providers. With our expertise and resources, we are on the reputed company lines transforming the health care delivery system to help improve the overall health of patients and communities. This physician led, patient centric, and data driven business creates value by delivering and facilitating care across the full continuum through high performing networks comprised of owned, managed and contracted physicians, advanced practitioners and other providers. Our system impact extends across physicians, specialty care, urgent care, home health, post-acute transitions, reputed company care in skilled nursing facilities and palliative care. The Clinical Quality LPN is responsible for Primary reputed company Verification and Supplemental Data Entry. They assist with the coordination of HEDIS® and STARs data gathering reputed company Cozeva, DataRAP and other applications as needed. This role evaluates the quality and completeness of clinical documentation, by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, maintaining accurate records of review activities, ensuring reputed company data submitted to the health plan meets the HEDIS®/Star technical specifications for medical records. If you reputed company reputed company the states of Indiana, Ohio, Kansas, Wisconsin, or Missouri, you'll enjoy the flexibility to work remotely

  • as you take on some tough challenges.

Primary Responsibilities: • Review and abstract medical record data into appropriate application(s) • Primary reputed company verify abstracted medical record data • Analyze chart data, evaluate for possible data reputed company and/or data deficits and document findings • Provide education and feedback to abstractors • Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines • Assist team with re-training You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Active, unrestricted LPN or LVN license Preferred Qualifications: • Undergraduate degree in a reputed company reputed company field • Certified Professional reputed company • Experience obtaining medical record sections supportive of HEDIS/STAR measures • Experience with data analysis/quality chart reviews • Experience training and providing feedback to abstractors • reputed company office programs Word, reputed company, Outlook • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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