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Quality Management Nurse (NYS RN License), CHHA Experience, Brooklyn, NY

Full-time

FlexStaff

FlexStaff is seeking a Registered Nurse (RN) with experience and strong knowledge of CHHA regulations to work full-time as a Quality Management Nurse for our client, a certified home care agency, located in Brooklyn, NY. Schedule: Monday - Friday 8:30 am - 5:00 pm. Permanent Position. In this role, you’ll be responsible for ensuring regulatory compliance and continuous performance improvement of the CHHA. Qualifications

  • Active, unencumbered NYS RN license.
  • 2+ years CHHA clinical experience.
  • Strong knowledge of CHHA regulations (federal, state, DOH) and Medicare CoPs
(documentation, visit frequency, billing). * Proven experience reviewing clinical records for accuracy, completeness, and compliance.
  • OASIS data experience and its impact on quality reporting and reimbursement.
  • Experience with survey readiness, audits, and regulatory responses (OMIG,

CMS, DOH).

Responsibilities include, but not limited to: * Ensure organizational compliance with CHHA regulations and DOH, state, and federal requirements; serve as a subject-matter resource for regulatory standards. * Apply Medicare Conditions of Participation (CoPs) to daily operations, verifying appropriate documentation, visit frequency, and billing practices. * Conduct ongoing clinical record reviews for accuracy, completeness, timeliness, and regulatory compliance; implement corrective actions as needed. * Oversee OASIS data collection processes; validate data quality and timeliness to support accurate quality reporting and reimbursement. * Monitor quality metrics, analyze trends, and develop/execute performance improvement plans; track outcomes and report results to leadership. * Prepare the agency for surveys and audits; coordinate readiness activities, mock surveys, and staff education. * Lead or support responses to OMIG, CMS, and DOH inquiries, audits, and corrective action plans; maintain required documentation. * Collaborate with clinical leadership to standardize workflows, policies, and documentation to meet CoPs and CHHA requirements. * Provide training and coaching to clinical staff on documentation standards, OASIS accuracy, and compliance best practices. * Participate in interdisciplinary quality meetings; produce dashboards and summaries for continuous quality improvement. *Additional Salary Details The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).

Vacancy posted 1 day ago
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