RN Quality Review Nurse Position Available In Lackawanna, Pennsylvania

RN Quality Review Nurse 3.0 3.0 out of 5 stars

Clarks Summit, PA We’re Hiring:

Full-Time RN Quality Review Nurse CareGivers America – NEPA, a Modivcare Home Care company, is seeking a skilled and mission-driven Registered Nurse to join our Quality Assurance team as a Quality Review Nurse. Be the Nurse Who Champions Quality Care Are you passionate about ensuring exceptional standards in patient care? Do you thrive in fast-paced environments, leveraging data and audits to drive healthcare improvements? Join our team and lead initiatives that make a real-world impact in home care services.

Location:

Clarks Summit, PA (Northeastern Pennsylvania Region)

Schedule:

Monday-Friday | 8:30 AM – 5:00

PM Salary:

$72K-$83K + Full Benefits Benefits and Perks… Medical, Dental & Vision Insurance 401(k) with 6% Match Paid Time Off 10 Paid Holidays Employee Assistance Program Employee Discounts (retail, hotels, food, and more!) Voluntary Term Life and AD&D Insurance Legal Services Insurance Short-Term and Long-Term Disability Accident, Critical Illness & Hospital Indemnity Insurance • As a Quality Review Nurse, you will be a key player in ensuring the delivery of safe, high-quality home care. In this role, you will: Review 485s and follow-up orders to ensure clinical accuracy and compliance with all regulatory standards Conduct audits, incident investigations, and complaint resolution, documenting findings and corrective actions Analyze care outcomes, satisfaction metrics, and compliance data to identify trends and drive improvements Collaborate with cross-functional teams to implement quality improvement projects Deliver training to clinical staff on QA processes, regulatory requirements, and industry best practices Maintain detailed and accurate records of all QA activities, including reports to senior leadership Participating in root cause analyses, developing action plans, and supporting external audit readiness Champion a culture of safety, compliance, and continuous improvement throughout the organization • We Are Excited to Speak to Someone With… Active PA RN License (Required) OASIS and coding certification (Preferred) 4+ years of professional experience in home health or healthcare quality Strong familiarity with healthcare regulations and compliance standards Excellent communication, critical thinking, and problem-solving skills Experience with Microsoft Office tools (Word, Excel, PowerPoint, Outlook) Detail-oriented, analytical, and able to work independently in a dynamic environment • We Live and Lead by Our Core Values… We treat everyone with dignity and RESPECT We earn the TRUST of our members, and each other We provide

RELIABLE

services that open doors We serve with courtesy and

COMPASSION

We prioritize SAFETY We communicate with purpose and TRANSPARENCY