Quality Assurance Nurse LTC - Centene Corporation : Job Details

The Clinical Quality Assurance RN will work in various capacities to review, monitor and train staff in the Long Term Care Department. Potentially working to review care management activities / records of the Care Management Teams and / or activities / clinical documentation submitted by the Intake Specialist. The Clinical Quality Assurance RN will review for to confirm accuracy and monitor timeliness in accordance with the Fidelis Cares policies and regulatory standards, ensuring adherence to departmental and regulatory data integrity standards and requirements including contractual obligations with State and Federal agencies such as New York State Department of Health (NYDOH), County Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also create, analyze, report and maintain metrics and processes in support of department and all relevant NYS programs and product lines. The Clinica...Quality Assurance, Assurance, Nurse, LTC, Clinical, Management