Quality Monitoring Nurse Reviewer

City of New York•New York, NY

1d•$109,490 - $109,490•Onsite

About The Position

The Administration for Children’s Services (ACS) Office of Child and Family Health (OCFH) delivers direct medical services to children entering foster care and ensures that the physical health care provided is comprehensive and appropriate. The Medical Audit Unit within OCFH reviews foster care medical records and ensures compliance with the established health standards for children in foster care. The Audit Nurse will be responsible for conducting medical case reviews for all foster care agencies within the five boroughs.

Requirements

A valid New York State Registered Nurse License.

Responsibilities

Review medical records at ACS's contracted agencies to ensure compliance with established health care standards for foster care youth
Perform focused medical record reviews to monitor new admission standards and other specialty reviews as directed
Liaise with contracted agencies regarding scheduling of reviews
Use agency developed tool and scoring methods to determine compliance with all applicable Federal, State, and City regulations and guidelines for the medical services provided to children in foster care
Identify and screen case reviews for special medical needs
Assist Nurse Supervisor in identifying training issues
Assist Nurse Supervisor in the development of corrective action plans and carry out follow up reviews for evaluation of specific remediation activities identified in corrective action plans
Assist in the provision of technical assistance to agencies as necessary to implement approved corrective action plans
Conduct site visits for medical review at all foster care agencies within the five boroughs
Perform nursing functions within the Clinical Programs and Services Unit as assigned