Quality Reviewer

Job Description The Quality Improvement Coordinator assists with the OASIS reviews and care plan development. implementation and coordination of quality improvement plans and programs. This position utilizes standards of practice to review medical records and teach clinical staff the safe delivery of high-quality care to adult and geriatric clients in accordance with agency policies and procedures and State and Federal Guidelines. Essential Functions Quality Improvement Responsibilities Performs concurrent and retrospective clinical record reviews to assess the appropriateness of the plan of care, proper utilization of services, and reviews documentation for accuracy, completeness, and consistency. Works collaboratively with members of the interdisciplinary team by providing ongoing education and feedback to assure documentation is complete and consistent with care and reflects legal requirements. Identifies aberrant practice trends in documentation, reports findings, and prepares recommendations for operations. Provides ongoing training to field staff regarding documentation of assessments, care planning, implementation, and evaluation of outcome measure achievement. Maintains knowledge of current Medicare and Medicaid rules and regulations, as well as quality and educational compliance issues as regulated by State of New York. Performs all other related duties and requirements as deemed necessary and appropriate. Qualification Requirements Graduate of an accredited RN program. The employee has the required licensure, education, training, and qualifications required by rule, regulation, law and/or statute to qualify for the role in their state. Excellent communication, interpersonal, computer and customer service skills