Nursing - Quality Auditor/ RN/ LPN
Responsibilities :
- Conduct on-site reviews at participating provider offices to assess environment, quality of physicians' medical records, and compliance with documentation standards.
- Prepare documentation summarizing on-site findings with physicians, providing education and discussing opportunities for improvement.
- Provide data support services to analyze trends / patterns for quality improvement and health management.
- Assist the Quality Management department with special projects and focused clinical studies.
- Perform related tasks or special studies as requested.
- Assist in training internal staff, providers, and vendors on programs and audit standards.
- Serve as an in-house representative and project lead for state audits.
- Analyze audit findings and produce various reports as requested.
- Coordinate and manage the Corrective Action Plan (CAP) process for assigned audit types.
- Conduct reaudits to ensure prior deficiencies were addressed.
Education Qualification :
- Requires three to five years of related business experience, preferably in the healthcare industry.
- Requires a License Practical Nurse License or an active New Jersey Registered Nurse License.
Required Skills :
- Knowledge of managed care principles and medical terminology.
- Proficiency in PC's and related software.
- Preferably familiar with URAC accreditation standards and HEDIS principles.
- Excellent verbal and written communication skills.
- Strong organization, analytical, problem-solving, conflict resolution, and decision-making skills.
- Proficient in PC skills and presentation skills.
There is available for relocation.
HEDIS Quality Auditor II - RN/SW
Strongly prefers a minimum of three (3) years clinical quality or audit experience. Active Unrestricted NJ RN, LCSW, LMFT, LSW or LPC License Required. Should be knowledgeable in the use of intranet and internet applications. This compensation range is specific to the job level and takes into accoun...
LPN/RN Unit Manager
Unit Manager, RN/LPN Benefits:. Unit Manager, RN/LPN Responsibilities. CNA's, LPN's and/or registered nurses are available for your tour of duty to ensure that quality care is. Make rounds of the nursing service department to ensure that all nursing service personnel are performing their w...
Licensed Practical Nurse / LPN or Registered Nurse / RN for Private Duty Nursing / PDN Cases
Join Our Team of Dedicated Private Duty Nursing / PDN Nurses - RNs and LPNs Welcome!. We have immediate opportunities for experienced LPNs skilled in GTs, Trachs & Vents, as well as openings for new LPNs eager to learn and grow with our PDN education program. Summit Home Care, a reputable family...
Quality Auditor II - RN/SW - Behavioral Health
Strongly prefers a minimum of three (3) years clinical quality or audit experience. Active Unrestricted NJ RN, LCSW, LMFT, LSW or LPC license required. Should be knowledgeable in the use of intranet and internet applications. Health Affairs - Quality Management). ...
Licensed Practical Nurse / LPN or Registered Nurse / RN for Private Duty Nursing / PDN Case
Join Our Team of Dedicated Private Duty Nursing / PDN Nurses - RNs and LPNs Welcome!. We have immediate opportunities for experienced LPNs skilled in GTs, Trachs & Vents, as well as openings for new LPNs eager to learn and grow with our PDN education program. Summit Home Care, a reputable family...
Quality Auditor II - RN/SW Behavioral Health
Strongly prefers a minimum of three (3) years clinical quality or audit experience. Active Unrestricted NJ RN, LCSW, LMFT, LSW or LPC License Required. Should be knowledgeable in the use of intranet and internet applications. Health Affairs - Quality Management). ...
RN/ LPN Weekend Nursing Supervisor 3-11 Per Diem
The Nursing Supervisor assumes responsibility and accountability for nursing services delivered to residents. Knowledge of geriatric and general chronic care nursing principles and professional standards of nursing practice and ability to apply to resident specific circumstances. Sufficient organiza...
HEDIS Quality Auditor II - RN/SW
Strongly prefers a minimum of three (3) years clinical quality or audit experience. Active Unrestricted NJ RN, LCSW, LMFT, LSW or LPC License Required. Should be knowledgeable in the use of intranet and internet applications. This compensation range is specific to the job level and takes into accoun...
Infection Preventionist/LPN-RN
Infection Preventionist/LPN-RN. Join us at Fallsview Rehab & Nursing, a member of Fallsview Rehabilitation & Nursing, and start a career. Fallsview Rehabilitation & Nursing -. Fallsview Rehab & Nursing. ...
Weekend Nursing Supervisor LPN/RN 11PM -7AM *DAILYPAY*
Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our Center, and as may be required by the Director of Nursing, Assistant Director of Nursing, or Nurse Supervisor to ensure that the highest degree of quality care is main...