Quality Assurance Nurse - USRN NY

CASM Limitlessli LLC; Manila; Remote; PHP 1,313,000 - 3,063,000; Full time

Job summary

CASM Limitlessli LLC is seeking a highly organized Quality Nurse Analyst for a remote position. The role involves reviewing clinical incidents, applying SOPs to determine causes and resolutions, and coordinating with physicians and care teams to ensure patient safety.

The ideal candidate holds an RN license in NYS with at least two years of nursing experience, and may have managed care exposure. The job requires strong communication, collaboration, and adherence to regulatory timelines.

Qualifications

• RN with NYS license.
• Minimum of 2 years nursing experience.
• Managed care experience preferred.

Responsibilities

• Review clinical incidents.
• Follow SOPs to determine root cause, risk, and resolution for incidents.
• Process interim medical orders to notify physician of patient needs and changes.
• Perform follow-up calls for high-risk recently discharged patients.
• Communicate with client, caregiver, coordination teams, payers, field RNs, providers and stakeholders.
• Follow regulatory guidelines to manage incidents to deadlines.
• Share trends from aggregate data to support quality improvement.
• Collaborate with the assistant director of nursing services to review cases.

Skills

Detail oriented

Interpersonal skills

Clinical judgment

Collaborative

Education

RN, NYS license

Job description

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

We are seeking a highly organized and detail-oriented Quality Nurse Analyst.

Thisposition is remote and offers you the flexibility of working from home.

Essential Role and Responsibilities:

• Review clinical incidents.
• Follow standard operating procedures (SOP) to determine root cause, risk, and resolution for incident.
• Process interim medical orders as needed to notify physician of patient needs and changes in condition such as fall, wound, injury and post-hospitalization
• Perform follow-up calls for patients recently discharged from acute hospitalization and who are considered high risk for readmission
• Communicate as needed to client, caregiver, coordination teams, payers (case management / service coordination), field RNs, providers and key stakeholders to ensure client safety and continuity of care.
• Follow regulatory guidelines to manage clinical incidents to key deadlines.
• Share trends and insights noted in aggregate data to support continuous quality improvement.
• Collaborate regularly with assistant director of nursing services to review clinical cases and client needs.

Required Skills and Abilities:

• Detail oriented, highly organized, and self-motivated.
• Strong interpersonal skills – verbal and written communication
• Strong clinical judgment and care planning skills
• Collaborative with key stakeholders

Education and Experience:

• RN, NYS license
• Minimum of 2 years nursing experience
• Managed care experience preferred

Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

Monday to Friday - 09 AM EST to 06 PM EST

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise‑canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well‑equipped to complete your work seamlessly.