Commission Rn Insurance Assessment Jobs (NOW HIRING)

The RN (Registered Nurse) Quality Assurance Coordinator is responsible for assisting in overall quality improvement activities for Nascentia Health CHHA and LHCSA divisions.

Job Requirements:

• Reviews clinical records.
  • Participates in review of chart audits utilizing SHP reports (if applicable) and best practice following policies and procedures.
  • Responsible for completing all LHCSA audits
  • Reviews client records, orders and other communication for quality and safety of care.
  • Analyzes documentation and reports trends to Manager
• Follows up with staff/management regarding issues identified in review process.
  • Assist clinical leadership in working with clinical staff on questions, OASIS education/clarification, documentation issues, and clinical care interventions.
  • Communicates with Manager regarding issues or concerns with clients and/or clinical staff.
  • Follows up with staff regarding documentation deficiencies and/or discrepancies with OASIS, coding and assessment.
  • Participates in formal and informal training opportunities for clinical staff.
• Performs quality improvement activities as assigned by Manager of Quality Improvement.
  • Communicates agency policies to staff.
  • Promotes quality improvement as it relates to the activities of clinical staff in accordance with organizational policies and procedures.
• Maintains knowledge of and adherence to agency policies, procedures, along with quality improvement standards.
  • Demonstrates knowledge and use of agency policies and procedures.
  • Demonstrates knowledge of quality improvement standards.
  • Demonstrates knowledge of OASIS assessments.
  • Has a working knowledge of Medicare/Medicaid and private insurance
  • Ability to learn and apply coding principles to home care.
• Other expectations
  • Provides excellent customer service.
  • Maintains patient confidentiality.
  • Maintains positive relationships with co-workers, administrative staff, clinical staff, physician offices and patients and families.
  • Keeps Manager of Quality Improvement informed of problems as they arise.
  • Attends meetings and conferences as needed.
  • Perform all other duties as assigned.

Requirements:

1. Current New York State licensed Registered Nurse
2. Minimum 2 years working in home care.
3. Excellent organizational skills.
4. Good attention to detail and accuracy.
5. Strong critical thinking and assessment skills.
6. Ability to work independently and be self-directed.

Physical Requirements:

1. Speech/visual/hearing ability sufficient to comprehend and express written and verbal communications.

2. Ability to sit/stand at desk for 90% of the day.

3. Bloodborne Pathogens Exposure Category III Employee who rarely has contact with blood and body fluids.

Compensation & Benefits:

Competitive Salary [This position is an S03 exempt position with a min-max rate of: $75,250-$87,138.92/annually] with:

• 401K with generous Employer match
• Medical, Dental, Vision plans
• Tuition Reimbursement and Loan Repayment Assistance
• Exceptional work/life balance - no rotating shifts
• On-Site Employee Fitness Center and Gym Membership
• Partially funded HSA
• Paid Time Off and Extended Sick Leave
• Short/Long term Disability
• Employee Assistance Program (EAP)
• Much More!

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About Nascentia Health:

Nascentia Health is leading the way in home care, post acute care and long-term community health, at our brand new headquarters featuring state-of-the-art technology and an on-site employee gym. We are looking for exceptional people to join our team.

A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.

Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.

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Nascentia Health is an Equal Opportunity Employer (EOE)

Employment is contingent upon negative results of a pre-hire drug screen and background clearance.