Quality Systems Reviewer

Requisition Number: 24249

Position Title:

External Description:

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Summary:

Purpose: The Quality Systems Reviewer assists in the implementation of the Agency’s Performance Improvement, Risk Management, Infection Control, and OASIS programs to ensure compliance with JCAHO, Federal, and New York State requirements.

 

Responsibilities:

1.Performs Start-of-Care Audits including 485 reviews daily.

2.Audits OASIS Resumption of Care, Follow-up and Discharge forms daily.

3.Performs pre-billing reviews.

4.Develops Performance Improvement Reports.

5.Participates in documentation reviews for competencies.

6.Provides feedback to Team Leaders via program dashboard on quality and process measures.Participates in quarterly Utilization Review.

7.Prepares reports to DQS and Clinical Team as appropriate.

8.Provides direction in performance improvement, risk management, infection

control and OASIS to field and administrative staff.

9.Maintain and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).

10.Demonstrates regular, reliable and predictable attendance.

11.Performs other duties as required.

Other information:

Education and Experience Requirements:

Bachelor’s degree in nursing or equivalent experience.
Minimum of three (3) years’ Home Care experience.
QAPI experience 1-3 years
Minimum Knowledge, Skills and Abilities Requirements:

·Proficient computers skills including Microsoft Word and Excel.

·Extensive knowledge of certified home care regulations and documentation requirements or experience in quality systems.

·Excellent organizational, customer service, communication and auditing skills

License, Registration, or Certification Requirements:

Current New York State a Registered Nurse license.
PREFER: QAPI certificate.
Location: Poughkeepsie-2649 South Road-Suite 220

Work Type: Part-Time

Standard Hours: 20.00

FTE: 0.500000

Work Schedule: DAY 4

Work Shift: 8a-1p

Org Unit: 1694

Department: Home Care Admin

Exempt: No

Grade: S11

Salary Range:

$32.6400 - $65.0100 Hourly

 

 

 

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

City: Poughkeepsie

State: New York

Community / Marketing Title: Quality Systems Reviewer

Company Profile:

Health Quest and Western Connecticut Health Network have combined to form a new nonprofit health system. The name for the new health system will be Nuvance Health. The new health system was created to provide communities across New York’s Hudson Valley and western Connecticut with more convenient, accessible and affordable care.

EEO Employer Verbiage:

Location_formattedLocationLong: Poughkeepsie, New York US

Job Number: 62607