Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Quality Review Manager- Registered Nurse

$90k - $105k

Credenza Health

RN Quality Review ManagerThis is a full time, in-person position based out of Brooklyn, NY. RN new grads are welcome.Pay: $90,000- $105,000/ annuallyAbout Us: With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care. Our priority lies in ensuring exemplary patient care while fostering a supportive and empowering workplace culture for all team members. We are currently seeking compassionate and skilled nurses to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home.Why Choose Us: At Personal Touch Home Care, we are committed to creating a rewarding and fulfilling experience for our team members. Our established history and reputation provide a stable and trusted foundation for your career. Join us in positively impacting the lives of our patients and their families. As a member of our team, you will enjoy a wide range of benefits that enhance your overall well-being and support your career growth. They include:Employee Recognition ProgramsComprehensive Health BenefitsGenerous Paid Time OffRetirement BenefitsLife InsuranceOpportunities for Professional Growth and DevelopmentEmployee Assistance ProgramPerks ProgramJob Details Overview: As a RN Clinical Manager/ Quality Review Manager, you will play a pivotal role in coordinating and managing patient care to ensure the highest standards are met. This position involves supervising clinical personnel and ensuring the delivery of quality home care services.Responsibilities:Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs.Reviews each case by evaluating the services provided by clinicians, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.Establishes patient's clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient's medical condition including any comorbidities.Assists clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals.Oversight of all patient care services and personnel.Prospective review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations.Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record.Track any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed.Directs case conference meetings with Organization personnel to facilitate coordination of care.Conducts quarterly record reviews and communicates findings and recommendations to appropriate Organization personnel.Assists in the orientation of new Organization personnel as requested.Assists Director of Education in the planning, implementation and evaluations of in-service and continuing education programs.Performs direct patient care duties as appropriate.Complies with accepted professional standards and principles.Promotes customer service to all Organization personnel.Stays informed about changes in the field of home health care.Performs all other duties and activities as delegated by the Administrator/Branch Director/Branch Manager.Performs all other duties as assigned.Qualifications:Registered Nurse (RN) with current licensure to practice professional nursing in the State.Graduate of an accredited nursing school; BSN degree preferred.Two (2) years of prior home health care experience.At least one (1) year of management or supervisory experience in a health care setting, preferably home care.Demonstrates excellent observation, verbal and written communication skills.Verbal and written communication skills in English.Job type: Full-timePay: $90,000- $105,000/ annuallyWe are excited to welcome passionate and dedicated individuals to join our team at Personal Touch Home Care. We're more than just a company, we're a close-knit family dedicated to supporting each other's success and well-being. Apply now and join us in making a positive impact on the communities we serve.

Vacancy posted 20 hours ago
Similar jobs that could be interesting for youBased on the RN Quality Review Manager- Registered Nurse in Brooklyn, NY vacancy
  •  ...at Hamilton Park in Jersey City, NJ, seeks a unit manager at a professional nursing level to lead the department and assume 24-hour...  ...counseling and disciplinary actions, and participate in quality assurance activities. A NJ RN license is required and highly valued. #J-18808... 
    Suggested

    OptimaCare

    Jersey City, NJ
    1 day ago
  •  ...OpenTrain AI is seeking a Nurse Practitioner Clinical AI Reviewer to evaluate AI-generated clinical responses and provide expert feedback on accuracy...  ...and clarity. You will assess differential diagnoses, management plans, and escalation decisions, creating prompts and... 
    Suggested
    Part time
    For contractors
    Remote work

    OpenTrain AI, Inc.

    Brooklyn, NY
    4 days ago
  •  ...Peraton is seeking a Nurse Reviewer Team Lead for SafeGuard Services to oversee medical reviews, ensure quality, mentor staff, and coordinate with investigations for referrals to law enforcement. You will promote timely development and resolution of reviews, with the... 
    Suggested
    Remote work

    Peraton

    Brooklyn, NY
    4 days ago
  • $2,926 per week

     ...Registered Nurse (RN) | Utilization Review Location: East Elmhurst, NY Agency: Prime Staffing Pay: $2,926 per week...  ...: 2+ years of experience in utilization review, case management, or acute care nursing License: Active State or Compact... 
    Suggested
    Permanent employment
    Full time
    Contract work
    Temporary work
    Shift work

    TravelNurseSource

    East Elmhurst, NY
    1 day ago
  • $75k - $105k

     ...Job Title: Program Manager- Registered Nurse Department: Long-Term Care Location: DeMay, 100 Sunset Dr...  ...success Meaningful work delivering high-quality patient care every day SUMMARY:...  ...degree in Nursing with minimal 4 years of RN experience Required Certification/Licensure... 
    Suggested
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    Rochester Regional Health

    Queens Village, NY
    1 day ago
  • $64.5k - $92.2k

    Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare. Responsibilities include... 
    Remote job
    Full time

    kozmetickesluzby.vecnakraska.sk - Jobboard

    Brooklyn, NY
    4 days ago
  • $100k - $120k

     ...Clinical Nurse Educator (RN) - MLTC Compensation Salary...  ...practice, improving quality of care, and supporting...  ..., chart reviews, focus groups) and recommend...  ...Current unrestricted Registered Nurse (RN) license...  ...problem-solving, and time management abilities About Us... 
    Contract work
    Shift work
    Day shift

    RCM Healthcare Services

    Brooklyn, NY
    1 day ago
  •  ...Rehabilitation Center is a 576-bed Skilled Nursing Facility located in the heart of Staten...  ...Staten Island through the provision of high quality, affordable and accessible health...  ...and facility policies and procedures. Reviews complaints and grievances made or filed by... 
    Local area
    All shifts
    Shift work
    Weekend work

    Clove Lakes Health Care and Rehabilitation Center, Inc.

    Staten Island, NY
    30 minutes ago
  •  ...is seeking an experienced RN for Utilization Management to optimize patient care, length...  .... Strong clinical nursing background and UR/QA experience...  ...essential, with a focus on quality and cost efficiency. The position...  ...experience in utilization review or discharge planning. #J-1... 

    Capital Health Services

    Brooklyn, NY
    3 days ago
  • $66.58k - $142.58k

     ...Integrated Care Management (ICM) Care ManagerWe're building...  ...prioritize safety and quality in everything we do....  ...tools and information/data review to conduct an...  ...Health encourages its nurses to meet with members in...  ...active and unrestricted RN license in the state of... 
    Hourly pay
    Full time
    Temporary work
    Monday to Friday
    Flexible hours

    Oak St. Health

    Union City, NJ
    1 day ago
  •  ...a 334 bed-skilled nursing facility in Secaucus...  ...of Nursing (ADON RN) to assist and...  ...nursing to assess the quality of nursing care...  ...employees’ performance reviews ensuring that MDS...  ...with a current registered nurse licensure by...  ...of one year in a management/administrative or... 
    Full time
    Relocation package

    Optima Care Fountains

    Secaucus, NJ
    5 days ago
  •  ...Secaucus, NJ seeks an Assistant Director of Nursing (ADON RN) to support the development,...  ...the director of nursing to monitor care quality, evaluating resident care and staff performance...  ...state laws, assisting with performance reviews, and ensuring timely completion of MDS... 

    OptimaCare

    Secaucus, NJ
    1 day ago
  • $90k - $100k

     ...Registered Nurse (RN) Supervisor NightsRichmond Center for Rehabilitation and Healthcare is actively seeking an experienced...  ...standards of care for the unitReview of resident records & quality of careMonitor overall care & review individual resident casesAddress questions or... 
    Daily paid
    Night shift
    Afternoon shift

    Centers Health Care

    Staten Island, NY
    5 days ago
  • $96k - $113k

     ...AIG, we are reimagining the way we help customers to manage risk. Join us as Underwriting Quality Manager to play your part in that transformation. It’s...  ...Commercial Casualty and Programs across all legal entities. Review underwriting quality, pricing compliance, portfolio... 
    Full time
    Work experience placement
    Work at office
    Local area
    Home office

    American International Group (AIG)

    Jersey City, NJ
    2 days ago
  • $54.1k - $142.58k

     ...prioritize safety and quality in everything we do. Join...  ...state with a compact RN license can apply. This...  ...-Risk Maternity case management team and experience with...  ...and information/data review, conducts an evaluation...  ...Education Associates Degree Nursing Bachelor's in... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday

    CVS Health

    Brooklyn, NY
    1 day ago
  • $42 per hour

     ...Terms! Hiring Case Managers in Ohio Come join our...  ...environment. Our RN-Case Managers conduct in-home nursing visits for our clients...  ...clients’ health, quality of life and peace...  ...school of professional registered nursing BSN...  ...competency validation Review and evaluate clinical... 
    Hourly pay
    Weekly pay
    Local area
    Flexible hours
    Shift work

    Act for Health, Inc

    Brooklyn, NY
    4 days ago
  • $45.71 - $46.7 per hour

     ...alternative application process. Nurse Case Manager (Registered Nurse) Full Time Brooklyn, NY, US...  ...Nurse/Licensed Practical Nurse (RN/LPN) Nurse Case Manager will be accountable...  ...experience, resumes will also be reviewed for related work experience if there... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    Littleflowerny

    Brooklyn, NY
    5 days ago
  •  ...Registered Nurse/ RN Case Manager SEEKING AN RN TO FULFILL 5 TO 10 VISITS PER WEEK OR MORE. VISITS CONSIST...  ...agency, we strive on providing the best quality of home care services to our...  ...health program and shall include a review of advance directives; Reassessment... 
    Part time

    Touch Worldwide

    Brooklyn, NY
    1 day ago
  • $2,302 - $2,481 per week

     ...Registered Nurse (RN) | Radiology Location: Long Island City, NY Agency: Host Healthcare Pay: $2,302 to $2,481 per week...  ...team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of... 
    Full time
    Contract work
    Local area
    Immediate start
    Shift work

    TravelNurseSource

    Long Island City, NY
    1 day ago
  • $2,565 per week

     ...Registered Nurse (RN) | Radiology Location: Astoria, NY Agency: Cynet...  ...safe and competent quality care based on nursing theory...  ...thinking skills in patient care management. Integrates relevant...  ...informal peer and institutional review processes. Collaborates with... 
    Full time
    Contract work
    Shift work

    Cynet Health

    Astoria, NY
    1 day ago
  • Ensemble Health Partners is seeking a qualified Utilization Review RN to support our nationwide health system clients. This role focuses...  ..., admissions reviews, and collaboration with care management and financial clearance teams. The position operates on a 4x10... 
    Rotating shift

    Ensemble Health Partners

    Brooklyn, NY
    3 days ago
  • $63.1k - $94.65k

     ...-enabled revenue cycle management solutions for health systems...  ...have current compact RN license, or be willing...  ...Our Utilization Review team provides coverage...  ...Monitor for readmissions Quality/Revenue Integrity Demonstrates...  ...with the physicians, nurses, multidisciplinary team... 
    Work at office
    Flexible hours
    Shift work

    Ensemble Health Partners

    Brooklyn, NY
    3 days ago
  •  ...Supplier Quality Manager Location: Greater Grand Rapids Area About Our Client: Our client is a well-established medical device manufacturer...  ...sites. Conducting regular supplier performance reviews, identifying underperforming suppliers, and driving corrective... 
    Permanent employment
    Contract work
    Remote work
    Worldwide

    Jobrapido

    Jersey City, NJ
    4 days ago
  •  ...Humana is seeking a Care Manager, Telephonic Nurse to assess enrollees' needs and guide families toward appropriate resources. You will assess, plan...  ...face-to-face interactions as needed. Required are an active RN license or LPC/LCSW, with 1 year clinical experience and 2+... 
    Remote work

    Humana

    Brooklyn, NY
    1 day ago
  • $2,462 - $2,830 per week

     ...Registered Nurse (RN) | Interventional Radiology Location: Jersey City, NJ Agency: Fusion...  ..., and post-procedure recovery management. The IR Nurse works closely with radiologists...  ...pre-procedure assessments, including reviewing medical history and lab results Educate... 
    Full time
    Contract work
    Temporary work
    Shift work

    TravelNurseSource

    Jersey City, NJ
    1 day ago
  • $2,462 - $2,830 per week

     ...Registered Nurse (RN) | Interventional Radiology Location: Jersey City, NJ Agency: Fusion...  ..., and post-procedure recovery management. The IR Nurse works closely with radiologists...  ...pre-procedure assessments, including reviewing medical history and lab results Educate... 
    Full time
    Contract work
    Temporary work
    Shift work

    Fusion Medical Staffing

    Jersey City, NJ
    1 day ago
  •  ...neighborhood health centers, nursing homes, post-acute care centers...  ...health care systems in quality of and innovations to care, and...  ...including peer, content, and quality reviews to ensure delivery of quality...  ...to practice as a Registered Professional Nurse in New York... 
    Full time
    Immediate start
    Trial period
    Shift work

    NYC Health + Hospitals/Correctional Health Services

    Queens, NY
    12 hours ago
  • $150k

     ...Nurse Practitioner   Work Location: Avenue U, Brooklyn On site...  ...with payers to deliver Quality Incentive Programs, Shared Savings...  ...evaluations. · Diagnose and manage acute and chronic conditions within...  ...outreach and care plans · Review patient panels to identify h... 
    Full time
    Work at office
    Monday to Friday

    Network Solutions IPA

    Brooklyn, NY
    2 days ago
  • $140k - $200k

     ...Nurse Practitioner - Fertility Department: Reproductive Endocrinology...  ...advanced assessments, managing complex cases, and performing...  ...receive personalized, high-quality care. This role is essential...  .... Responsibilities: • Reviews patient cycles and manages the... 
    Full time

    Premium Health Center

    Brooklyn, NY
    2 days ago
  •  ...Halmar International is seeking an experienced Quality Manager to support our work on the MTA Second Avenue Subway project in New York...  ...documentation, tracking, resolution, and closure of quality issues. Review inspection and testing documentation for completeness,... 
    Contract work
    For subcontractor
    Work at office

    Jobrapido

    Jersey City, NJ
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Quality Review Manager- Registered Nurse. Be the first to apply!