Clinical Nurse Auditor, HEDIS *Remote*
DescriptionProvidence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:• Be responsible for conducting clinical quality audits for the Quality Department• Identify and coordinate clinical audits to determine potential areas for quality improvement within the PHP network• Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program• Conduct Audits, which include review of outpatient medical records, hospital records, clinical lab and pharmacy records• Be responsible for collecting data based on standardized methodologies• Organize data to identify and address opportunities for improvement• Perform chart audits electronically or on site in physician practices during the audit season• Successfully complete HEDIS training prior to performing chart abstractions• Maintain all collected records in a confidential manner• Perform all duties in a manner which promotes team concept and reflects the Providence Health Plan's mission and philosophy• Communicate in a collaborative manner with the team in a way that represents Providence Health PlanPlease note the following important detail regarding this HEDIS Seasonal Role:• This posting is for multiple openings of a Nurse Auditor, HEDIS• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon• Position Type: Temporary, Per Diem, Non Benefitted• Length of Program Anticipated to last between: January 2026 - May 2026• Work Schedule: Monday - Friday• Work Hours Scheduled Weekly: 40• Additional Info:• This position will require a full time commitment to the project, meaning no extended time off during the HEDIS Season (January 2026 - May 2026)• Positions specified as “on call/per diem” refer to employment consisting of shifts scheduled on an “as needed basis” to fill in for staff vacancies.Providence Health Plan welcomes remote work for applicants who reside in:• Washington• OregonRequired Qualifications For This Position Include• Degree in Nursing• Oregon Registered Nurse License• 5+ years clinical experience (Nursing)Preferred Qualifications For This Position Include• Bachelor's Degree in Nursing• Dual RN License: Oregon and Washington• 1 year Quality management/quality improvement/utilization review auditing experience, including experience in auditing within electronic health records.• Experience with health plans, project management, program evaluation, team facilitation, data analysis, and/or case review.Why Join Providence Health Plan?Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.About ProvidenceAt Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."About The TeamProvidence Shared Services is a service line within Providence that provides a variety of functional and Apply tot his job Apply To this Job