(RN) Quality Review Manager- Registered Nurse

About the role

This a full time, in-person position based out of Brooklyn, NY. RN new grads are welcome.

Job Details

Overview: As a RN Clinical Manager/ Quality Review Manager, you will play a pivotal role in coordinating and managing patient care to ensure the highest standards are met. This position involves supervising clinical personnel and ensuring the delivery of quality home care services.

Responsibilities

• Receives case referrals.
• Reviews available patient information related to case, including disciplines required, to determine home care needs.
• Reviews each case by evaluating the services provided by clinicians, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.
• Establishes patient’s clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient’s medical condition including any comorbidities.
• Aids clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals.
• Oversight of all patient care services and personnel.
• Potential review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations.
• Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record.
• Tracks any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed.
• Directs case conference meetings with Organization personnel to facilitate coordination of care.
• Conducts quarterly record reviews and communicates findings and recommendations to appropriate Organization personnel.
• Aids in the orientation of new Organization personnel as requested.
• Aids Director of Education in the planning, implementation and evaluations of in-service and continuing education programs.
• Performs direct patient care duties as appropriate.
• Complies with accepted professional standards and principles.
• Promotes customer service to all Organization personnel.
• Stays informed about changes in the field of home health care.
• Performs other duties and activities as delegated by the Administrator/Branch Director/Branch Manager.
• Performs all other duties as assigned.

Qualifications

• Registered Nurse (RN) with current licensure to practice professional nursing in the State.
• Graduate of an accredited nursing school; BSN degree preferred.
• Two (2) years of prior home health care experience.
• At least one (1) year of management or supervisory experience in a health care setting, preferably home care.
• Demonstrates excellent observation, verbal and written communication skills.
• Verbal and written communication skills in English.