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Clinical Quality Review Specialist - RN License Required

Sauk Prairie Healthcare, Inc.

Livonia (MI)

Remote

USD 65,000 - 85,000

Full time

2 days ago
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Job summary

A leading healthcare organization is seeking a Clinical Quality Review Specialist to ensure accurate documentation and high clinical outcomes. The role is fully remote, requiring an RN license and certifications in coding and clinical review. Join a commitment to patient-centered care and career development opportunities.

Benefits

Medical, dental and vision insurance
Short and long-term disability
403b retirement plan
Generous paid time off
Tuition reimbursement

Qualifications

  • Registered Nurse with current license.
  • ICD10 HCS-D certification required.
  • OASIS COS-C certification strongly preferred.

Responsibilities

  • Responsible for processing quality and clinical workflows.
  • Collaborates with clinicians for documentation accuracy.
  • Educates on quality improvement standards.

Skills

Communication
Interpersonal skills
Technology skills

Education

Associate nursing degree
Bachelor's degree

Tools

Home Care Home Base
EPIC

Job description

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Clinical Quality Review Specialist - RN License Required New

Description:

Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required.

Employment Type

Full time

Shift

Description:

Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required.

OASIS COS-C certification required within 6 months of hire

Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for a remote position

ICD10 HCS-D certification which is Required to interview

OASIS COS-C certification required within 6 months of hire

HCHB Experience a Plus

EPIC experience preferred

Position Summary

The Clinical Quality Review Specialist is a remote position, responsible for processing and completing assigned quality and clinical workflows, identifying errors and omissions in clinical assessments, OASIS, coding, plans of care and other clinical documentation. Collaborates with clinicians to achieve accurate documentation and plan of care development including visit utilization targets and identification of hospitalization risk to produce strong clinical outcomes. Provides clinician specific education regarding quality, outcomes improvement, documentation standards, and actions to improve clinical processes. Participates in department quality improvement initiatives. Collaborates with agency on focused quality improvement initiatives to achieve organization's strategic aims and top clinical outcomes.

Minimum Qualifications

  • Registered Nurse with current license from the state in which practicing. May be required to obtain additional state licenses.
  • Degree: Bachelor's preferred. Associate nursing degree considered if successfully demonstrated career progression and meets and exceeds performance expectations.
  • ICD10 HCS-D certification Required.
  • OASIS COS-C certification strongly preferred.
  • Home Care Home Base software experience a plus!
  • EPIC software experience a plus!
  • Strong computer and technology skills required.
  • Well-developed interpersonal and communication skills necessary for effective interaction with a wide range of customers, professional clinical staff and other related team members.
  • Ability to consistently demonstrate alignment to the Mission, Vision and Values, Organizational Code of Ethics and adhere to the Compliance Program.

Your opportunity

  • Enjoy a truly patient-centered focus
  • Excel with supportive, motivated colleagues in an inspiring environment
  • Flexible scheduling options
  • Competitive salary
  • Career paths and professional development
  • Learn the industry's best, easy-to-use, advanced technology

Other Benefits

  • First day Medical, dental and vision insurance
  • Short and long-term disability
  • 403b
  • Generous paid time off
  • Mileage reimbursement
  • Comprehensive orientation
  • Tuition reimbursement

About Trinity Health At Home

Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are is a comprehensive, trusted provider of home care and end-of-life care in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), hospice and bereavement services. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare!

Apply now!

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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