Quality Management Clinical Analyst - Staten Island, United States - Centers Choice Home Care

Centers Choice Home Care
Centers Choice Home Care
Verified Company
Staten Island, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Title:
Quality Management Clinical Analyst


Responsible to:
Director Quality Management


Incident reporting:

logging, investigation, ensures written report on file, assists clinical managers with written reports, collates information on a quarterly basis.

Provides education to clinical staff regarding risk management and incident reporting.


  • Medicare expedited appeals. Review case, writes detailed notice, ensures all information is sent to the QIO.
  • Conducts quarterly utilization review including the preparation of the UR report for UR Committee and Professional Advisory Committee (PAC) presentation.

Infection reporting and infection control:
Investigation, record review, writing infection reports, collating and reporting data to PAC.

Medical record requests:

oversight of QM Assistant with processing medical record requests to ensure timely distribution, audit of the record prior to distribution to the requestor.


  • Potentially Avoidable Events (PAE): review OASIS PAE reports and conducts record audit of patient experiencing potentially avoidable events to determine agency risk in the event occurrence; prepares PAE report for PAC presentation. Provides feedback to clinical management on deficiencies found.
  • Focused record audits related to problem prone areas, performance improvement projects and plans of correction on an as needed basis. Provides feedback to clinical management on deficiencies.
  • Assists QM Director/Compliance Officer with complaint and other investigations as requested including review of patient record.

Vendor Management:
conducts personnel file audits and policy review of new vendors to ensure that vendor meet Agency standards.

Experience:
At least 2 years' CHHA experience preferably in a quality assuracne role.


Education:
RN, BSN preferred.


Technical Skills:
Word, Excel, PowerPoint


Pay:
$100, $120,000.00 per year


Benefits:


  • 401(k)
  • 401(k)
matching

  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Work setting:

  • Inperson

Work Location:
In person
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