Quality Review Specialist (RN)

The Execu|Search Group
Aug 13, 2017
Aug 14, 2017
Employer Type
Direct Employer
Employment Type
Full Time
Job Description:

About the Opportunity A medical facility in New York City is currently seeking a licensed Registered Nurse (RN) for a promising Quality Review Specialist position with their growing staff. In this role, the Quality Review Specialist (RN) will be responsible for quality assurance, accuracy and overall integrity of the care management records and documentation completed by Care Management staff. Apply today! Company Description Medical Facility Job Description The Quality Review Specialist (RN): * Ensures compliance with NYS DOH and CMS regulations through development of auditing tools, specifically validating all data collected * Analyzes collected audit data, identify trends for staff re-training and implementing corrective action plans in collaboration with Clinical management staff * Provides support to Directors, Managers and Supervisors to insure that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner * Reviews, collects and prepares evidence packets for all scheduled fairs Required Skills * 2+ years of Care Management experience * Graduate from an accredited School of Nursing * NYS Registered Nurse (RN) license * Previous experience with Performance / Quality Improvement and Risk Management * Computer savvy * Microsoft Office/Suite proficient (Excel, Word, etc.) * Knowledge of Medicare and Medicaid regulations * Working knowledge of Audit techniques and methodologies * Working knowledge of State and Federal regulations * Solid analytical and critical thinking skills * Great interpersonal skills * Excellent communication skills (written and verbal) * Strong attention to detail * Highly organized Desired Skills * BSN or Bachelor's Degree in a related field * Microsoft PowerPoint proficient