Pediatric Quality Reviewer

Americare Inc; New York (NY); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401K with company match

Tuition reimbursement $10,000

Incentive bonuses

Paid time off: 4 weeks vacation, 5 p/d

8 sick days

Employee discount program

Job summary

Americare Inc. is seeking a Pediatrics Quality Reviewer RN to ensure accuracy and completeness of COC documentation and to oversee OASIS-C submissions in line with CMS regulations. The role operates Monday through Friday, 8:30 AM to 5:00 PM, in an office setting.

The ideal candidate will hold an NYS RN license, possess strong documentation and CMS billing knowledge, and demonstrate excellent communication, organization, and problem-solving abilities. Home health experience is preferred.

Qualifications

• NYS RN License required and active in New York state.
• Excellent verbal, written, and interpersonal communication skills.
• Strong organizational skills with attention to detail.
• Experience with CMS billing regulations and OASIS guidance is a plus.
• Home health or community care experience desired.

Responsibilities

• Ensure completeness and integrity of documentation by RNs in the COC process.
• Ensure OASIS assessments are completed per CMS guidelines (OASIS-C).
• Maintain accuracy of clinical documentation and support CMS compliance.
• Collaborate with care team to support quality review processes.

Skills

CMS OASIS knowledge

Documentation skills

Communication skills

Multi-tasking

Independent work

Problem solving

Education

NYS RN License

Tools

Homebase

Job description

Job Description:

he Position:Pediatrics Quality Reviewer RN

Schedule:Monday - Friday 8:30 AM - 5:00 PM

The Quality Reviewer is a Registered Professional Nurse who will ensure the accuracy, completeness and integrity of documentation completed by the COC.. This individual will be assigned to a set group of COCs.. The QR’s main area of responsibility will be to ensure that OASIS assessments are completed in accordance with CMS Regulatory Requirements and Conventions for completing OASIS-C (Chapter 3) in the OASIS-C Guidance Manual.

What we offer:

• No Quality Reviewer experience required; We will train the right person!
• This is an office position/ day hours.
• Comprehensive benefits including, medical, dental, and vision Insurance.
• 401K plan with company match.
• $10,000 Tuition Reimbursement.
• Incentive Bonuses.
• Robust time off includes 4 weeks of vacation, 5 personal days, and 8 sick days per year.
• Employee discount program on events, movie tickets, mobile phone plan discounts and more
• Supportive Management team

What we ask for:

• NYS RN License.
• Computer literacy; Home Health Homebase experience.
• Strong clinical documentation skills.
• Familiarity with CMS billing regulations.
• Excellent verbal, written, and interpersonal communication skills.
• Highly organized with strong attention to detail.
• Ability to multitask and perform under pressure.
• Home health or community care experience.
• Ability to work independently and solve problems

Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law.