FlexStaff is seeking a Registered Nurse (RN) with experience and strong knowledge of CHHA regulations to work full-time as a Quality Management Nurse for our client, a certified home care agency, located in Brooklyn, NY.
Schedule:
Monday
Permanent Position. In this role, you'll be responsible for ensuring regulatory compliance and continuous performance improvement of the CHHA. Qualifications Active, unencumbered NYS RN license. 2+ years CHHA clinical experience. Strong knowledge of CHHA regulations (federal, state, DOH) and Medicare CoPs (documentation, visit frequency, billing). Proven experience reviewing clinical records for accuracy, completeness, and compliance. OASIS data experience and its impact on quality reporting and reimbursement. Experience with survey readiness, audits, and regulatory responses (OMIG, CMS, DOH). Responsibilities include, but not limited to: Ensure organizational compliance with CHHA regulations and DOH, state, and federal requirements; serve as a subject-matter resource for regulatory standards. Apply Medicare Conditions of Participation (CoPs) to daily operations, verifying appropriate documentation, visit frequency, and billing practices. Conduct ongoing clinical record reviews for accuracy, completeness, timeliness, and regulatory compliance; implement corrective actions as needed. Oversee OASIS data collection processes; validate data quality and timeliness to support accurate quality reporting and reimbursement. Monitor quality metrics, analyze trends, and develop/execute performance improvement plans; track outcomes and report results to leadership. Prepare the agency for surveys and audits; coordinate readiness activities, mock surveys, and staff education. Lead or support responses to OMIG, CMS, and DOH inquiries, audits, and corrective action plans; maintain required documentation. Collaborate with clinical leadership to standardize workflows, policies, and documentation to meet CoPs and CHHA requirements. Provide training and coaching to clinical staff on documentation standards, OASIS accuracy, and compliance best practices. Participate in interdisciplinary quality meetings; produce dashboards and summaries for continuous quality improvement. Additional Salary Details The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). Quality Management Nurse (NYS RN License), CHHA Experience, Brooklyn, NY 3.5 3.5 out of 5 stars Lake Success, NY 11042 $105,000
- $110,000 a year
- Permanent, Full-time FlexStaff 24 reviews $105,000
- $110,000 a year
- Permanent, Full-time FlexStaff is seeking a Registered Nurse (RN) with experience and strong knowledge of CHHA regulations to work full-time as a Quality Management Nurse for our client, a certified home care agency, located in Brooklyn, NY.
Schedule:
Monday
Permanent Position. In this role, you'll be responsible for ensuring regulatory compliance and continuous performance improvement of the CHHA. Qualifications Active, unencumbered NYS RN license. 2+ years CHHA clinical experience. Strong knowledge of CHHA regulations (federal, state, DOH) and Medicare CoPs (documentation, visit frequency, billing). Proven experience reviewing clinical records for accuracy, completeness, and compliance. OASIS data experience and its impact on quality reporting and reimbursement. Experience with survey readiness, audits, and regulatory responses (OMIG, CMS, DOH). Responsibilities include, but not limited to: Ensure organizational compliance with CHHA regulations and DOH, state, and federal requirements; serve as a subject-matter resource for regulatory standards. Apply Medicare Conditions of Participation (CoPs) to daily operations, verifying appropriate documentation, visit frequency, and billing practices. Conduct ongoing clinical record reviews for accuracy, completeness, timeliness, and regulatory compliance; implement corrective actions as needed. Oversee OASIS data collection processes; validate data quality and timeliness to support accurate quality reporting and reimbursement. Monitor quality metrics, analyze trends, and develop/execute performance improvement plans; track outcomes and report results to leadership. Prepare the agency for surveys and audits; coordinate readiness activities, mock surveys, and staff education. Lead or support responses to OMIG, CMS, and DOH inquiries, audits, and corrective action plans; maintain required documentation. Collaborate with clinical leadership to standardize workflows, policies, and documentation to meet CoPs and CHHA requirements. Provide training and coaching to clinical staff on documentation standards, OASIS accuracy, and compliance best practices. Participate in interdisciplinary quality meetings; produce dashboards and summaries for continuous quality improvement. Additional Salary Details The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).
