Quality Improvement ReviewerCompany: CareStar, Inc.
Location: Remote
Job Type: Full Time | Remote with Field Visits
Industry: Healthcare / Social Services / Case Management
About the Opportunity at CareStarFounded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a
QI Reviewer to join our
Quality Improvement Department. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a
QI Reviewer, you'll be responsible for chart reviews/audit completion across all programs at CareStar using a standardized, program-specific set of interpretive guidelines to ensure inter-rater reliability.
Key Responsibilitiesโข Adheres to the CareStar Rule in performance of job responsibilities.
โข Understands and complies with CareStar Policies and Procedures.
โข Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.
โข Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.
โข Completes an average of 30-40 audits per week using program-specific reviewer guidelines to ensure inter-rater reliability.
โข Reports findings promptly to the appropriate Supervisor. โข Coordinates and communicates with the Clinical Teams in all programs.
โข Participates in Root Cause Analysis and brings forward to the QI Supervisor any trends/patterns which have been identified during the chart review/audit process.
โข Participates in QI projects and Improvement initiatives, as needed.
โข Is available to serve on work groups, community groups, committees, or other task forces and attends meetings as requested.
โข Performs other projects and duties as assigned.
Minimum Qualificationsโข Minimum of 3 years in clinical, operations or quality improvement required.
โข Minimum of 3 years in healthcare delivery required.
โข Bachelor's Degree in Nursing, Social Services or related field.
โข Certification/licensure in a health-related field (e.g., LPN, RN, or LSW) preferred. โข Excellent organizational, analytical, and interpersonal skills.
โข Detail-oriented with the ability to manage time and prioritize projects.
โข Effective oral and written communication skills with attention to detail.
โข Familiarity with suite of Microsoft Office programs.
โข Valid driver's license and car insurance as required by State law.
Why Join CareStar?- Competitive salary based on experience and education
- Comprehensive benefits: Medical, dental, vision, life insurance
- 401(k) with a generous company match
- Paid time off + 10 paid holidays
- Employee Stock Ownership Plan (ESOP) - become a part-owner in the company
- Supportive, mission-driven culture focused on improving lives
Apply TodayReady to make a difference? Visit https://www.carestar.com/about-carestar/careers/ to apply and learn more about joining our team.
Department Quality Improvement Role Quality Improvement Reviewer Locations Marion County Remote status Fully Remote Employment type Full-time