HEDIS Outreach Nurse New

Judge Healthcare is currently seeking HEDIS Outreach Nurses for one of our fantastic clients!

Location: Remote (Pacific Time Zone hours)

Schedule: Monday–Friday, 8:00 AM – 5:00 PM PST

Employment Type: Temporary (12/01/2025 – 04/30/2026)

About The Role

We’re seeking a licensed Registered Nurse (RN) with HEDIS experience to join our Health Care Informatics team. In this temporary role, you’ll play a key part in improving 5 Star/HEDIS performance by engaging directly with members and providers to close gaps in care and ensure accurate documentation.

Responsibilities

• Conduct outreach to members regarding clinical screenings aligned with HEDIS and 5 Star measures
• Apply NCQA HEDIS Technical Specifications to assess compliance and guide member conversations
• Accurately document member interactions and screening outcomes in the HEDIS database
• Maintain confidentiality and integrity of protected health information
• Identify missing documentation and follow up with members and medical offices via phone and fax
• Escalate complex issues to the HEDIS Supervisor as needed
• Collaborate with team members to support overall program goals and SCAN’s mission
  
  

Minimum Qualifications

• High School Diploma or equivalent
• Active California RN
• 1+ years of experience with HEDIS and Medicare measures
• Strong understanding of NCQA HEDIS Technical Specifications
• Excellent verbal and written communication skills
• Detail-oriented with the ability to multitask and meet deadlines
  
  

Ready to Make an Impact?

If you're passionate about improving healthcare quality and love connecting with patients and providers, we want to hear from you! This is your chance to contribute to meaningful work, sharpen your HEDIS expertise, and be part of a dynamic team driving real results.

Apply now and help us raise the bar in healthcare excellence!

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