Quality Improvement Reviewer

CareStar, Inc.•Indianapolis, IN

3d•Hybrid

About The Position

Founded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a QI Reviewer to join our Quality Improvement Department. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a QI Reviewer, you’ll be responsible for chart reviews/audit completion across all programs at CareStar using a standardized, program-specific set of interpretive guidelines to ensure inter-rater reliability.

Requirements

Minimum of 3 years in clinical, operations or quality improvement required.
Minimum of 3 years in healthcare delivery required.
Bachelor’s Degree in Nursing, Social Services or related field.
Excellent organizational, analytical, and interpersonal skills.
Detail-oriented with the ability to manage time and prioritize projects.
Effective oral and written communication skills with attention to detail.
Familiarity with suite of Microsoft Office programs.
Valid driver’s license and car insurance as required by State law.

Nice To Haves

Certification/licensure in a health-related field (e.g., LPN, RN, or LSW) preferred.

Responsibilities

Adheres to the CareStar Rule in performance of job responsibilities.
Understands and complies with CareStar Policies and Procedures.
Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.
Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.
Completes an average of 30-40 audits per week using program-specific reviewer guidelines to ensure inter-rater reliability.
Reports findings promptly to the appropriate Supervisor.
Coordinates and communicates with the Clinical Teams in all programs.
Participates in Root Cause Analysis and brings forward to the QI Supervisor any trends/patterns which have been identified during the chart review/audit process.
Participates in QI projects and Improvement initiatives, as needed.
Is available to serve on work groups, community groups, committees, or other task forces and attends meetings as requested.
Performs other projects and duties as assigned.