
Intermountain Health
Rn trainer auditor prn
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

NorthLakes Community Clinic
·14 days agoNorthLakes Community Clinic
·14 days agoLocation
remote, WI, United States
Commitment
Full Time
Level
Junior (<2 years)
Caring for our community starts with you. Join a team that believes everyone deserves care.
Candidates must reside within NorthLakes' service area at the time of hire and maintain residency throughout employment.
NLCC Triage RN will provide triage and health advice by phone to patients, utilizing evidence based triage protocols, as well as processing prescription refill requests received from pharmacies and patients.
Essential Functions of the Job: [Other duties may be assigned.]
Current license as a Registered Nurse in the State of WI required
For full time and part time employees who work 24 or more hours per week we offer a generous benefits package that includes:
Our Mission is to respond to the healthcare needs of our communities with an integrated array of quality services and actively remove barriers to wellness.
NorthLakes Community Clinic is an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
All offers of employment are contingent upon successful completion of a criminal background check and references.
At NorthLakes Community Clinic, our organizational competencies highlight the behaviors and values that guide how we work and provide a shared foundation for performance, development, and growth throughout an employee’s career with us.

Intermountain Health
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

St. Luke's University Health Network
Answer and triage patient calls, following clinical protocols. Verify and update patient demographic information in the electronic health record. Provide clinical support and advice to team members and manage escalated patient messages.

CareSource
Process medical necessity reviews for healthcare service authorization, assist with discharge planning, and coordinate care for members. Engage with medical directors for clinical expertise, monitor healthcare service delivery, and refer quality issues to Quality Improvement.

CareMore Health
Coordinate and manage care for members with complex medical needs, developing individualized care plans. Collaborate with interdisciplinary teams to monitor patient progress and revise care plans as necessary.

Highmark Health
Perform clinical review and data abstraction of patient records to support compliance with quality initiatives. Abstract key clinical findings accurately and timely, perform data entry for databases, and identify outliers.

NorthLakes Community Clinic
Provide triage and health advice via phone, following clinical guidelines. Process prescription refill requests and connect patients to community resources. Facilitate access to medical providers and conduct medication reconciliation.

Trinity Health
Assess and triage patient needs via phone and in-office visits. Provide clinical guidance, patient education, and care coordination. Manage medication refills, test results, referrals, and prior authorizations. Collaborate with healthcare partners and support chronic disease management.