Quality Management Nurse (RN)

FlexStaff Career Site
79d

About The Position

FlexStaff is seeking a Quality Management RN for our client, a leader in home health care. This position will be located in the Brooklyn office location. This position will ensure regulatory compliance and continuous performance improvement.

Requirements

  • Active New York State (NYS) Registered Nurse (RN) License.
  • Strong knowledge of Certified Home Health Agency (CHHA) regulations (federal, state, and DOH).
  • Demonstrated understanding of Medicare Conditions of Participation (CoPs) for home health, including documentation, visit frequency, and billing compliance.
  • Experience conducting clinical record reviews for accuracy, completeness, and regulatory compliance.
  • Familiarity with Outcome and Assessment Information Set (OASIS) data collection, 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 and collaboration skills with clinical, administrative, and operational teams.
  • Proficiency in Electronic Medical Records (EMR) systems (e.g., HCHB or similar platforms).

Responsibilities

  • Ensure regulatory compliance within the Quality Management Department.
  • Contribute to continuous performance improvement initiatives.
  • Prepare and manage appeals processes.
  • Track and manage grievances.
  • Analyze patient satisfaction data to identify areas for improvement.
  • Conduct competency evaluations for staff.
  • Maintain professional standards in all interactions and tasks.
  • Demonstrate meticulous attention to detail in all quality-related activities.
  • Uphold a commitment to excellence in patient care and staff support.

Benefits

  • Bonus opportunities
  • Tuition reimbursement
  • Medical, dental, and vision insurance
  • 401(k) plan with company match
  • Supportive management team
  • Robust time off policy, including holidays, vacation, personal days, floating holiday, cultural Heritage Day, sick days, and your birthday off!
  • Employee discount programs

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What This Job Offers

Job Type

Full-time

Education Level

No Education Listed

Number of Employees

1,001-5,000 employees

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