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Hedis Nurse Resume

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Here is the Hedis Nurse Resume example:

Dorothy Palmer

2441 Sweetwood Drive

Aurora, CO80014

(555)-555-5555

[email]

Job Objective Inspiring Hedis Nurse wishes to obtain a career with an established hospital looking for loyal employees who are dedicated to their hospital.

Summary of Qualifications:

  • Ability to collected from medical records, immunization registries, member documents and provider office
  • Excellent interpersonal and organizational skills
  • Effective problem solving, analytic and communication skills
  • Professional phone etiquette
  • Amazing ability to demonstrate appreciation of cultural diversity and sensitivity towards target population
  • Remarkable ability to work calmly and effectively under adverse conditions

Work Experience:

Hedis Nurse, August 2005 – Present

Amerigroup, Aurora, CO

  • Educated provider and office staff about medical records and clinical standard guidelines.
  • Assisted in defining opportunities for improvement through analysis of patterns and trends.
  • Communicated significant findings, including potential risk management issues to the Quality Management.
  • Performed on-site medical record reviews.
  • Adhered to established procedures for scheduling, requesting, and reviewing records while on-site at provider offices and hospitals.

Hedis Nurse, May 2000 – July 2005

CareSource, Aurora, CO

  • Collected, researched and organized information to use in reviews.
  • Reported reviews not meeting criteria to peer consultants, including medical directors.
  • Maintained complete confidentiality of protected health information.
  • Communicated with management regarding development within areas of assigned responsibilities.
  • Gathered, entered, and analyzed data.
  • Performed Medical Reviews in Physicians offices throughout the state.

Education

Bachelor of Science in Nursing Practitioner, Central Pennsylvania College, Summerdale, PA

Example #2

Melanie Gonzalez

5931 S Olive St

Hesperia, CA 92344

(555)-555-5555

m.gonzalez@anyemail.com

Objective Seeking a responsible position as a Hedis Nurse in a well reputed hospital or clinic where my experience and knowledge are fully employed.

Career Profile:

  • Strong interpersonal, organizational, problem solving, analytic and communication skills.
  • Excellent ability to perform on-site medical record reviews.
  • Profound ability to communicate significant findings, including potential risk management issues to the quality management lead in a timely manner.
  • Extended ability to analyze, interpret and relate the medical data.
  • In-depth knowledge of the medical terminology.

Nursing Experience:

Hedis Nurse, 2004 to till date

Roswell Park Cancer Institute, Buffalo, NY

  • Collected and analyzed health care data.
  • Educated providers and office staff about medical records and clinical standard guidelines.
  • Collected, analyzed, and reported initiatives and facility compliance with HEDIS population health measures.
  • Requested and reviewed appropriate medical records.

Academic Background

Certified Registered Nurse Practitioner (CRNP), 2004

University of Illinois, Chicago, IL

B.S in Nursing, 2003

Yale University, New Haven, CT

Average Rating

4.4/5 stars with 312 reviews

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