Wellbound Certified Home Health Agency is currently seeking an RN Quality Reviewer to conduct clinical reviews in accordance with home health care regulatory requirements and Conditions of Participation. The RN Quality Reviewer will report directly to the Director of Compliance.
Role and Responsibilities for RN Quality Reviewer:
- Reviews documentation for the necessity of services, accuracy, appropriateness, quality of care, and compliance with physician orders and plan of care to ensure quality care and reimbursement
- Utilizes clinical expertise to conduct quality reviews to determine deviation from standards of care
- Abstracts data relevant to the review target
- Participates in the collection and analysis of data for monthly, quarterly, and annual reports
- Effectively meets strict deadlines
- Participates in continuous quality improvement activities; collection, analysis, and presentation of data for peer review, Compliance, and QAPI Committees
- Performs other duties as assigned
Requirements for RN Quality Reviewer:
- NYS RN License
- At least 1 year of recent clinical nursing experience
- Experience working in Home Health Care/CHHA
Job Type: Full-time
Pay: $90,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Medical specialties:
Standard shift:
Weekly schedule:
Experience:
- Nursing: 1 year (Preferred)
License/Certification:
Ability to Relocate:
- Brooklyn, NY 11228: Relocate before starting work (Required)
Work Location: In person