Nurse Clinical Qa Auditor

Nurse Clinical QA Auditor - responsible for the regulatory oversight of multiple facility clinical programs located in different states. This position provides support and education for nursing clinical programs. The primary purpose is to assist with the design and implementation of clinical audits in vital areas requiring clinical improvement and then provide support and education that ensures regulatory compliance. The position requires collaboration between Compliance Team members and Regional Teams. This includes but is not limited to training of nurses in proper daily skilled documentation, wound documentation, and risk reduction. Recommendations will strictly adhere to Medicare guidelines and best practices.

• Supports State and Federal Regulatory Compliance with monitoring, education, and implementation of clinical programs while collaborating with other members of the PACS Compliance Team and local
• Provides Facility Trainings as needed to support local facility clinical operations
• Educates and Mentors Registered and Licensed Nursing staff as necessary for proper daily skilled documentation and special focus areas, including PDPM active diagnosis, fall management, wound treatment, and care planning in the EMR.
• Reviews EMR and Point Right to ensure strict compliance with Medicare guidelines. Collaborates with Legal Team to monitor high risk liability areas and assist facilities to alleviate liability risk.
• Tracks and trends clinical metrics for identified risk areas

Requirements:

RN Associate or Bachelor Degree in Nursing with DON or equivalent SNF experience 5yrs. Proficient in computer skills and utilizing data in programs such as QIES Casper, Point Right, and Point Click Care. Prefer RAC-CT Credential

Job Type: Full-time

Pay: $75,000.00 - $150,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Medical specialties:

• Geriatrics

Physical setting:

• Long term care
• Skilled nursing facility

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Work Location: On the road