Quality Management RN

Americare Inc.; New York (NY); On-site; USD 90,000 - 115,000; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision insurance

$10,000 Tuition Reimbursement

401K plan with company match

4 weeks of vacation, 5 personal days, and 8 sick days per year

Supportive Management team

Office-based role

Job summary

A healthcare organization in Brooklyn, NY, seeks a Quality Management Nurse. This full-time position offers a Monday to Friday schedule, focusing on regulatory compliance and performance improvement in patient care. Candidates should possess a NYS RN License, a strong grasp of CHHA regulations, and excellent communication skills. Benefits include comprehensive medical and dental insurance, tuition reimbursement, and generous paid time off. The role is office-based with day hours.

Qualifications

• Registered Professional Nurse with NYS RN License required.
• Strong knowledge of CHHA regulations and Medicare Conditions of Participation is essential.
• Experience with clinical record reviews ensures regulatory compliance.

Responsibilities

• Ensure regulatory compliance and continuous performance improvement.
• Prepare appeals and track grievances while analyzing patient satisfaction.
• Collaborate with teams to improve patient outcomes and compliance.
• Ensure regulatory compliance and survey readiness; support audits.

Skills

Knowledge of CHHA regulations

Understanding of Medicare Conditions of Participation

Experience conducting clinical record reviews

Familiarity with OASIS data collection

Ability to analyze quality metrics

Strong communication skills

Proficiency in using EMR systems

Education

NYS RN License

Tools

Electronic Medical Records systems (e.g., HCHB)

Job description

Quality Management RN page is loaded## Quality Management RNremote type: Not Remotelocations: Brooklyn, NYtime type: Full timeposted on: Posted Todayjob requisition id: R-100563**Job Description:****The Position:**Quality Management Nurse.**Schedule:**Monday - Friday 8:30 am - 5:00 pmThe Quality Management Nurse is a Registered Professional Nurse who will ensure, regulatory compliance and continuous performance improvement. Responsibilities include appeals preparation, grievance tracking, patient satisfaction analysis, and competency evaluations. The ideal candidate demonstrates professionalism, attention to detail, and a commitment to excellence in patient care and staff support.**What we offer:*** Comprehensive benefits including, medical, dental, and vision Insurance.* $10,000 Tuition Reimbursement.* 401K plan with company match.* Robust time off includes 4 weeks of vacation, 5 personal days, and 8 sick days per year.* Supportive Management team.* Office-Based Role / day hours.**What we ask for**:* NYS RN License.* **Strong knowledge of CHHA regulations**, including federal, state, and Department of Health (DOH) requirements.* Demonstrated **understanding of Medicare Conditions of Participation (CoPs)** for home health, including compliance with documentation, visit frequency, and billing requirements.* Experience conducting **clinical record reviews** to ensure accuracy, completeness, and compliance with regulatory standards.* Familiarity with **Outcome and Assessment Information Set (OASIS)** data collection and its impact on quality reporting and reimbursement.* Proven ability to **analyze quality metrics**, identify trends, and implement corrective action plans.* Prior involvement in **survey readiness**, audits, or responses to regulatory bodies (e.g., OMIG, CMS, DOH).* Strong communication skills with the ability to collaborate across clinical, administrative, and operational teams to improve patient outcomes and compliance.* Proficiency in using Electronic Medical Records (EMR) systems, such as HCHB or similar platforms.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.