Quality Outreach Nurse LVN/LPNRobert Half
Job Summary
Description
Position Overview
We are seeking a licensed LVN/LPN to support a healthcare quality team focused on HEDIS and STARs measures, patient outreach, and closing gaps in care.
This position combines clinical knowledge, patient education, data review, and a significant amount of telephonic outreach. The LVN/LPN will work with patients who have outstanding quality measures or gaps in their healthcare and help determine what is needed to close those gaps.
A large portion of the day will involve outbound calls to patients. During these conversations, you may educate patients on recommended screenings or preventive care, discuss why a particular measure is important, help coordinate appointments, and address barriers that may be preventing the patient from completing their care.
This is a great opportunity for an LVN/LPN who enjoys patient interaction but is interested in a role that is less focused on traditional bedside nursing and more focused on care coordination, population health, quality improvement, and patient education.
Key Responsibilities
Conduct a high volume of outbound calls to patients regarding open healthcare quality measures and gaps in care
Educate and counsel patients on HEDIS, STARs, preventive care, and other quality measures
Identify patients who are missing required or recommended healthcare services
Help patients understand what steps are needed to close their care gaps
Assist with appointment scheduling and coordination when appropriate
Review patient information and healthcare data to identify missing or incomplete measures
Evaluate the quality and completeness of clinical gap closures
Accurately document patient conversations, outreach attempts, outcomes, and follow-up needs
Analyze information for potential data discrepancies or missing documentation
Partner with internal healthcare teams to resolve issues or barriers impacting quality measures
Follow established clinical, documentation, privacy, and regulatory guidelines
Maintain current knowledge of HEDIS and STARs standards and requirements
Meet established productivity, quality, and outreach expectations
Requirements
What They Are Looking For
The most important requirement for this position is an active LVN/LPN license. Candidates should also be comfortable spending a significant portion of their day on the phone communicating directly with patients.
The strongest candidates will have previous experience in areas such as:
HEDIS or STARs
Quality improvement or quality measures
Care coordination
Population health
Managed care or health plans
Patient outreach
Preventive care
Telephonic nursing
Healthcare call center environments
Medical record or clinical documentation review
Direct HEDIS/STARs experience is highly preferred, but candidates with a strong LVN/LPN background and relevant patient outreach, quality, or care coordination experience may also be considered.
TalentMatch
Robert Half is the worlds first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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