Remote Utilization Review Rn Jobs in Manchester, CT

Position Location Details - You will be able to work from your home location in United States.

This is a remote opportunity within the North Connecticut and Western Mass areas! The individual selected must reside in the Western New York Region. Travel required!

80% Travel Required - multiple area assignments

Position covers all 3 modalities

PURPOSE AND SCOPE:

The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis)

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.
• Develop and implement action plans to address deficiencies and improve care delivery.
• Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.
• Facilitate staff education and training related to quality improvement, patient safety, and best practices.
• Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
• Prepare and present quality reports to clinic leadership and governing bodies.
• Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.
• Promote a culture of accountability, safety, and continuous improvement within the clinic.
• Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).
• Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
  • Day-to-day work includes desk and personal computer work and interaction with facility staff and physicians.
• The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
• Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%.

Travel to Regional, Division and Corporate meetings may be required.

• Remote: The position could require travel up to 10-15%

SUPERVISION:

• None

EDUCATION AND REQUIRED CREDENTIALS:

• Registered Nurse required
• BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).
• Certification in Nephrology Nursing or quality preferred

EXPERIENCE AND SKILLS:

• 3+ years of dialysis experience required.
• 2+ years' experience in a leadership role.
• Strong organizational, critical thinking and customer service skills.
• Demonstrated leadership competencies and adaptability to changes in priorities
  • Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.
• Strong verbal and written communications skills.
• Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.

Annual Rate: for $79,600.00 - $142,300.00 for Worcester, MA location

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position.

Pay Transparency Request Form