RN Quality Review Manager- Registered Nurse

RN Quality Review Manager
- Registered Nurse

Brooklyn, NY

This a full time, in-person position based out of Brooklyn, NY. RN new grads are welcome.

Pay: $90, 000- $105, 000/ annually

With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care. 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 nurses to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home.

At Personal-Touch Home Care, we are committed to creating a rewarding and fulfilling experience for our team members. Our established history and reputation provide a stable and trusted foundation for your career. Join us in positively impacting the lives of our patients and their families. As a member of our team, you will enjoy a wide range of benefits that enhance your overall well‑being and support your career growth.

They include:

• 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.
• 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 RN Clinical Manager/ Quality Review Manager, 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.

• Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs.
• Reviews each case by evaluating the services provided by clinicians, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.
• Establishes patient’s clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient’s medical condition including any comorbidities.
• Assists clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals.
• Oversight of all patient care services and personnel.
• Prospective review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations.
• Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record.
• Track any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed.
• Directs case…