What are the responsibilities and job description for the Clinical Review & Quality Assurance RN position at Fairview Health Services?
Do you have a degree in Nursing with 3 or more years experience? We at MHealth Fairview are looking for you to join our team! This benefits eligible position is a 0.6FTE (48 hours/2 weeks) on the day shift!
The role of the Clinical Review and Quality Assurance RN involves conducting thorough reviews of patient records, working collaboratively with clinical staff to address discrepancies, and ensuring compliance with regulatory standards. This position requires strong data analysis skills to identify trends, as well as a commitment to fostering a culture of accountability and continuous learning within the organization. The RN will play a key role in participating in quality initiatives to enhance patient safety and healthcare outcomes.
Responsibilities Job Description
- Review all initial clinical assessments and reassessments for qualitative and quantitative content of the medical record, completeness, and compliance with quality of care standards—as related to federal, state regulations, and organizational policies.
- Collaborate with clinical staff to address data integrity issues, consulting with clinicians as needed and ensuring corrections align with organizational policies.
- Analyze clinical data to identify trends and offer recommendations to improve performance.
- Stay informed about healthcare regulations, accreditation requirements, and industry standards.
- Ensures appropriate ICD-10 coding and sequencing as it relates to the client’s medical condition, including any co-morbidities.
- Assists with other chart audit activities as assigned.
- Participate in annual competency activities, to include annual co-visits in the field
- Foster a culture of accountability, collaboration, and continuous learning within the healthcare organization.
Organization Expectations, as applicable:
- Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
- Partners with patient care giver in care/decision making.
- Communicates in a respective manner.
- Ensures a safe, secure environment.
- Individualizes plan of care to meet patient needs.
- Modifies clinical interventions based on population served.
- Provides patient education based on as assessment of learning needs of patient/care giver.
- Fulfills all organizational requirements.
- Completes all required learning relevant to the role.
- Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
- Fosters a culture of improvement, efficiency and innovative thinking.
- Performs other duties as assigned.
Qualifications
Required
Education
Degree in Nursing RN
Experience
3 or more years of Nursing Experience
2 or more years Home Infusion or Home Care experience
License/Certification/Registration
Current MN Nursing License
Current American Heart Association or Red Cross issued Basic Life Support (BLS)
Valid Driver’s License
Current and adequate automobile insurance policy
Preferred
Education
BSN
Experience
EPIC
License/Certification/Registration
CRNI or OCN
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
