Quality Review Manager

Quality Reviewer- (RN) Registered Nurse

Florence KY

With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care and is a leading national home care agency. Our priority lies in ensuring exemplary patient care while fostering a supportive and empowering workplace culture for all team members. We are currently seeking compassionate and skilled professionals to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home.

• Employee Recognition Programs:
  We acknowledge and celebrate your contributions.
• Comprehensive
  
  Health Benefits:
  
  We offer an inclusive package with Medical, Dental, Vision, Accident, and Long-Term Disability Coverage to ensure access to quality medical care while promoting overall wellness.
• Generous Paid Time Off:
  We provide generous paid time off to ensure you can recharge and return to work refreshed, leading to greater productivity and job satisfaction. We support a healthy work-life balance.
• Retirement Benefits:
  We offer a 401k plan to secure your financial future and help you save for retirement.
• Life Insurance:
  We offer company paid life insurance providing peace of mind and financial protection for you and your loved ones.
• Mileage Reimbursement:
  We make sure you’re compensated for your business travel.
• Opportunities for Professional Growth and Development:
  Empowering you to thrive and grow.
• Employee Assistance Program:
  Supporting the well‑being of you and your family.
• Perks Program:
  Exclusive deals and offers on products, services, and experiences you need and love.

As a Quality Reviewer, you will play a pivotal role in coordinating and managing patient care to ensure the highest standards are met. This position involves supervising clinical personnel and ensuring the delivery of quality home care services.

• Receive case referrals and assess patient needs to assign appropriate clinicians.
• Review and evaluate each case, providing guidance to clinicians for effective performance.
• Reviews and appropriately codes all Oasis Assessments.
• Instruct and guide clinicians to promote quality care delivery, being available to assist as needed.
• Review patient clinical information, including diagnosis, medications, and procedures.
• Assist in establishing therapeutic goals and developing care plans.
• Organize and lead case conference meetings to facilitate care coordination.
• Conduct quarterly record reviews and communicate findings to appropriate personnel.
• Assist in screening, interviewing, and orienting new personnel.
• Assist in planning and implementing in‑service and continuing education programs.
• Contribute to the formulation, revision, and implementation of policies and procedures.
• Oversight of Quality Review Measures.
• On‑Call Rotations for after hour services.
• Perform direct patient care duties as needed.
• Maintain compliance with professional standards and principles.
• Manage a team of clinicians and follow up to ensure all necessary documentation is completed timely and follow‑up actions if indicated.

• Registered Nurse with current licensure in Kentucky
• Bachelor’s degree in nursing or related field preferred
• Coding Certified ICD‑10 preferred
• Previous experience in home care or healthcare management preferred
• Strong leadership and communication skills
• Ability to prioritize and multitask effectively
• Proficient in Microsoft Office Excel, Microsoft Word and electronic medical records systems

Job Type: Full‑time

Salary: $75,000–$85,000 annually

We are excited to welcome passionate and dedicated individuals to join our team at Personal Touch Home Care. We’re more than just a company, we’re a close‑knit family dedicated to supporting each other’s success and well‑being. Apply now and join us in making a positive impact on the communities we serve.