Quality Management Nurse (NYS RN License), CHHA Experience, Brooklyn, NY
FlexStaff•Village of New Hyde Park, NY
•Onsite
About The Position
FlexStaff is seeking a Registered Nurse (RN) with experience and strong knowledge of CHHA regulations to work full-time as a Quality Management Nurse for our client, a certified home care agency, located in Brooklyn, NY. In this role, you’ll be responsible for ensuring regulatory compliance and continuous performance improvement of the CHHA.
Requirements
- Active, unencumbered NYS RN license.
- 2+ years CHHA clinical experience.
- Strong knowledge of CHHA regulations (federal, state, DOH) and Medicare CoPs (documentation, visit frequency, billing).
- Proven experience reviewing clinical records for accuracy, completeness, and compliance.
- OASIS data experience and its impact on quality reporting and reimbursement.
- Experience with survey readiness, audits, and regulatory responses (OMIG, CMS, DOH).
Responsibilities
- Ensure organizational compliance with CHHA regulations and DOH, state, and federal requirements; serve as a subject-matter resource for regulatory standards.
- Apply Medicare Conditions of Participation (CoPs) to daily operations, verifying appropriate documentation, visit frequency, and billing practices.
- Conduct ongoing clinical record reviews for accuracy, completeness, timeliness, and regulatory compliance; implement corrective actions as needed.
- Oversee OASIS data collection processes; validate data quality and timeliness to support accurate quality reporting and reimbursement.
- Monitor quality metrics, analyze trends, and develop/execute performance improvement plans; track outcomes and report results to leadership.
- Prepare the agency for surveys and audits; coordinate readiness activities, mock surveys, and staff education.
- Lead or support responses to OMIG, CMS, and DOH inquiries, audits, and corrective action plans; maintain required documentation.
- Collaborate with clinical leadership to standardize workflows, policies, and documentation to meet CoPs and CHHA requirements.
- Provide training and coaching to clinical staff on documentation standards, OASIS accuracy, and compliance best practices.
- Participate in interdisciplinary quality meetings; produce dashboards and summaries for continuous quality improvement.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
