Quality Management Nurse
FlexStaff•Village of New Hyde Park, NY
•Onsite
About The Position
FlexStaff is seeking a knowledgeable and dynamic RN Quality Manager to lead our client’s quality assurance efforts and uphold the highest standards of home health care. This role is based in our client's Brooklyn office and is ideal for a field nurse looking to transition off the road. The position requires a strong background in regulatory compliance, clinical review, and quality improvement, offering an opportunity to make a meaningful impact in elevating healthcare quality and ensuring compliance.
Requirements
- Valid NYS RN license
- In-depth knowledge of CHHA regulations, including federal, state, and DOH requirements
- Solid understanding of Medicare Conditions of Participation (CoPs) for home health, including documentation, visit frequency, and billing standards
- Experience conducting clinical record reviews for accuracy, completeness, and compliance
- Familiarity with OASIS data collection and its influence on quality reporting and reimbursement
- Proven ability to analyze quality metrics, identify trends, and develop corrective action plans
- Prior experience with survey readiness, audits, or responding to agencies such as OMIG, CMS, or DOH
- Excellent communication skills and ability to collaborate across clinical, administrative, and operational teams
- Proficiency in EMR systems like HCHB or similar platforms
Nice To Haves
- The ideal candidate demonstrates professionalism, attention to detail, and a commitment to excellence in patient care and staff support.
Responsibilities
- Appeals preparation
- Grievance tracking
- Patient satisfaction analysis
- Competency evaluations
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
