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Quality Review Auditor RN

MJHS
MJHS Salary
New York, NY Full Time
POSTED ON 2/23/2025
AVAILABLE BEFORE 5/20/2025

Why work for MJHS?

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!

Benefits include :

  • Sign-on Bonuses ORStudent Loan Assistancefor clinical staff
  • FREEOnline RN to BSN and MSN degree programs!
  • Tuition Reimbursementfor all full and part-time staff
  • Dependent Tuition Reimbursementfor clinical staff!
  • Generous paid time off
  • Affordablemedical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities :

Quality Review Auditor (QRA) is responsible for ongoing audits of the care management staff, quality assurance, accuracy and overall integrity of the care management records and documentation. QRA will listen to the calls completed by the care management staff to identify gaps in knowledge and assess for professionalism of the staff completing the calls. This role is to ensure compliance with NYS DOH and CMS regulations through development of audit tools and validating all data collected. Quality Review Auditor will be responsible to analyze collected audit data, identify trends for staff re-training and implementing corrective action plans in collaboration with Coordinated Care Management staff. Provide support to Directors, Managers and Supervisors to ensure that all documentation and reporting requirements are prepared and maintained in a professional and well-coordinated manner.

Qualifications :

  • Graduate from an accredited School of Nursing. BSN or BS degree preferred
  • Minimum of two (2) years of working in care management experience required
  • Managed Care experience preferred
  • Licensed to practice as Registered Professional Nurse in NYS
  • Excellent analytical skills, interpretation of data
  • Strong critical thinking skills
  • Knowledge of Medicare and Medicaid regulations
  • Ability to set priorities and to handle multiple assignments
  • Working knowledge of audit techniques and methodologies
  • Working knowledge of State and Federal regulations
  • Travels to perform business partners training
  • Salary : $92,276 - $115,345

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