Nursing Network Quality Specialist - RN - Naven Health

Job Description

The RN Quality Specialist reports directly to the Senior Manager of Quality, Regulatory and Education. The RN Quality Specialist is accountable and responsible for maintaining compliance of all clinical documentation processes. The RN specialist evaluates nursing practices within the medical record to help maximize efficiency and optimize patient care. The RN Quality Specialist will maintain knowledge of all INS standards and practices for infusion therapies, medications, and therapies. In addition, they should be familiar with home health guidelines, rules and regulations for licensure and accreditation. The RN Quality Specialist will need maintain knowledge of pharmacovigilance processes and established Naven Health Standards.

• Working with manufacturers, and specialty pharmacies to ensure documentation meets all standards for compliance and billing.
• Familiarity with the basic principles of performance improvement. Identifies quality improvement opportunities and participates in quality improvement initiatives in assigned roles as delegated.

Job Responsibilities

• Review documentation contained in the medical record for appropriateness and completeness and accuracy.
• Compose, review and monitor plans for treatments.
• Utilize computer programs to effectively collect, analyze, present, and communicate data to the staff, managers, and leaders.
• Educate staff members on documentation expectations and guidelines.
• Communicate and educate Infusion nurses on compliance issues regarding documentation and clinical monitoring.
• Provide timely and in-depth reporting regarding all relevant information regarding missing or incomplete notes to the Senior Manager of Quality and Manager of Quality.
• Responsible conducting clinical nursing audits for documentation and compliance purposes.
• Create, audit, and send plans of treatments to providers and pharmacies.
• Maintain communication with nursing staff through email, texting, and tasking in the medical record.
• Work closely with manufacturer and other specialty pharmacies to ensure documentation accuracy and care provided is within the standards set forth.
• Create, review for accuracy, and monitor due dates and ensure returns for all Plans of Treatments.
• Maintain knowledge of pharmacovigilance processes and procedures per the FDA laws and regulations.
• Submission of adverse event reports per manufacturer guidelines.
• Confirm and upload prescriptions received from our customer related to designated therapy.
• Participate in performance improvement initiatives.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.

Supervisory Responsibilities

No

Basic Education and/or Experience Requirements

• Associate’s degree in nursing
• Active and unrestricted RN license
• Five (5) years of relevant clinical nursing experience in an acute care setting and /or home or ambulatory home infusion.

Preferred Qualifications & Interests (PQIs)

• Bachelor’s degree in nursing

Physical Demand Requirements

• Ability to work on a personal or laptop computer for extended periods of time.

Travel Requirements

• (if required) Up to ~25%

Pay Range

• $53,879.21-$89,821.18

Benefits

• Medical, Dental, & Vision Insurance
• Paid Time off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs