RN Quality Review Manager

Personal Touch Home Care; New York (NY); On-site; USD 90,000 - 95,000; Full time

Job summary

A leading home care provider is seeking an RN Quality Review Manager to oversee patient care coordination and ensure quality services. The role involves reviewing cases, guiding clinicians, and maintaining compliance with regulations. Join a supportive team dedicated to excellent patient care and professional growth.

Benefits

Comprehensive Health Benefits

Generous Paid Time Off

Retirement Benefits

Life Insurance

Mileage Reimbursement

Opportunities for Professional Growth

Employee Assistance Program

Perks Program

Qualifications

• Registered Nurse (RN) with current licensure required.
• Two years of prior home health care experience.

Responsibilities

• Ensure patient care is coordinated and managed appropriately.
• Review case referrals and evaluate services provided by clinicians.

Skills

Communication

Observation

Education

BSN degree

Job description

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Personal Touch Home Care provided pay range

This range is provided by Personal Touch Home Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$90,000.00/yr - $95,000.00/yr

Brooklyn, NY

About Us: With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care. Our priority lies in ensuring exemplary patient care while fostering a supportive and empowering workplace culture for all team members. We are currently seeking compassionate and skilled nurses to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home.

Why Choose Us: At Personal-Touch Home Care, we are committed to creating a rewarding and fulfilling experience for our team members. Our established history and reputation provide a stable and trusted foundation for your career. Join us in positively impacting the lives of our patients and their families. As a member of our team, you will enjoy a wide range of benefits that enhance your overall well-being and support your career growth. They include:

• Employee Recognition Programs: We acknowledge and celebrate your contributions.
• Comprehensive Health Benefits: We offer an inclusive package with Medical, Dental, Vision, Accident, and Long-Term Disability Coverage to ensure access to quality medical care while promoting overall wellness.
• Generous Paid Time Off: We provide generous paid time off to ensure you can recharge and return to work refreshed, leading to greater productivity and job satisfaction. We support a healthy work-life balance.
• Retirement Benefits: We offer a 401k plan to secure your financial future and help you save for retirement.
• Life Insurance: We offer company paid life insurance providing peace of mind and financial protection for you and your loved ones.
• Mileage Reimbursement: We make sure you're compensated for your business travel.
• Opportunities for Professional Growth and Development: Empowering you to thrive and grow.
• Employee Assistance Program: Supporting the well-being of you and your family.
• Perks Program: Exclusive deals and offers on products, services, and experiences you need and love
  
  
  

Job Details Overview: The Quality Review Manager is responsible for ensuring that patient care is coordinated and managed appropriately.

Responsibilities:

• Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs.
• Reviews each case by evaluating the services provided by clinicians, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.
• Establishes patient’s clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient’s medical condition including any co-morbidities.
• Assists clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals.
• Oversight of all patient care services and personnel.
• Prospective review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations.
• Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record.
• Track any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed.
• Directs case conference meetings with Organization personnel to facilitate coordination of care.
• Conducts quarterly record reviews and communicates findings and recommendations to appropriate Organization personnel.
• Assists in the orientation of new Organization personnel as requested.
• Assists Director of Education in the planning, implementation and evaluations of in-service and continuing education programs.
• Performs direct patient care duties as appropriate.
• Complies with accepted professional standards and principles.
• Promotes customer service to all Organization personnel.
• Stays informed about changes in the field of home health care.
• Performs other duties and activities as delegated by the Administrator/Branch Director/Branch Manager.
• Performs all other duties as assigned.
  
  
  

Qualifications:

Registered Nurse (RN) with current licensure to practice professional nursing in the State.

Graduate of an accredited nursing school; BSN degree preferred.

Two (2) years of prior home health care experience.

One (1) year of management or supervisory experience in a health care setting, preferably home care.

Complies with accepted professional standards and practice.

Must be a licensed driver with an automobile that is insured in accordance with state requirements and is in good working order.

Complies and maintains current CPR certification.

Demonstrates excellent observation, verbal and written communication skills.

Verbal and written communication skills in English.

Job type: Full-time

Pay: $90, 000- $95, 000/ annually

We are excited to welcome passionate and dedicated individuals to join our team at Personal Touch Home Care. We’re more than just a company, we’re a close-knit family dedicated to supporting each other’s success and well-being. Apply now and join us in making a positive impact on the communities we serve.

#NYRN

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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