Quality Management Nurse
Flexstaff Ltd.
FlexStaff-Quality Management Nurse Are you a field nurse looking to get off the road? We have an exciting opportunity available in our client’s Brooklyn office! Are you passionate about elevating healthcare quality and ensuring compliance? FlexStaff is seeking a knowledgeable and dynamic RN Quality Manager to lead our client’s quality assurance efforts and uphold the highest standards of home health care. If you have a strong background in regulatory compliance, clinical review, and quality improvement, this is your opportunity to make a meaningful impact! Responsibilities Appeals preparation Grievance tracking Patient satisfaction analysis, and competency evaluations. The ideal candidate demonstrates professionalism, attention to detail, and a commitment to excellence in patient care and staff support. Qualifications Valid NYS RN license In-depth knowledge of CHHA regulations, including federal, state, and DOH requirements Solid understanding of Medicare Conditions of Participation (CoPs) for home health, including documentation, visit frequency, and billing standards Experience conducting clinical record reviews for accuracy, completeness, and compliance Familiarity with OASIS data collection and its influence on quality reporting and reimbursement Proven ability to analyze quality metrics, identify trends, and develop corrective action plans Prior experience with survey readiness, audits, or responding to agencies such as OMIG, CMS, or DOH Excellent communication skills and ability to collaborate across clinical, administrative, and operational teams Proficiency in EMR systems like HCHB or similar platforms Additional Salary Detail 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, #J-18808-Ljbffr Flexstaff Ltd.
$2,170 per week
...Registered Nurse (RN) | Outpatient Clinic Location: New York, NY Agency: FlexCare... ..., allied health, and therapy talent management solutions for top healthcare facilities... ...clinicians with the right facilities to deliver quality patient care 30438816EXPPLAT...QualityFull timeContract workLocal areaImmediate startShift work$1,851 per week
...Registered Nurse (RN) | Psych Location: New York, NY Agency: FlexCare Pay... ...nursing, allied health, and therapy talent management solutions for top healthcare facilities... ...with the right facilities to deliver quality patient care 30561683EXPPLAT...QualityFull timeContract workLocal areaImmediate startShift workNight shift- ...Surgery Center is currently seeking an Part time OR RN Nurse to join our team. We are a pain management practice with a one room OR where we do epidurals,... ...administrative side as well, such Infection control and Quality Assurance. Experience with charting, EHR a plus....QualityPart time
- Job Description Patients' care management must be regulated. Lead the nursing procedure, assessment, planning, use, and evaluation in accordance with the... ...carry out duties with little supervision. Provide high-quality nursing care to improve the patient's well-being....Quality
- IntusCare is seeking a Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. You will review service utilization, guide care decisions, and support transitions across care settings, collaborating with Interdisciplinary...QualityRemote job
$42 per hour
IntusCare is seeking a Contract Utilization Management Nurse to ensure high-quality, cost-effective, and compliant care for PACE participants. The role collaborates with interdisciplinary teams to review utilization, guide care decisions, and support transitions across...QualityRemote jobHourly payContract work- We’re seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our growing healthcare team. In this role,... ...and ensuring patients receive appropriate, timely, and high-quality services. The ideal candidate will bring strong clinical...QualityRemote work
$28 - $33 per hour
...Supports, Inc. is seeking a Licensed Practical Nurse (LPN) practitioner to promote community... ...company policies and providing broad management oversight to daily operations in their... .... Participate and promote continuous quality improvement projects and ongoing...QualityHourly payFull timeWork at officeImmediate start$42 per hour
...risk adjustment, population health, and utilization management. IntusCare empowers teams to take control of their... ...Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants...QualityContract workRemote work- Overview Job Title: RN Care Management Coordinator - Compliance Specialist (Remote, Tri-State... ...Requirement: PA Licensed Registered Nurse (RN) only — No LPN candidates Job Summary... ...issues affecting operational efficiency and quality to management and directors. Perform...QualityContract workRemote work
$41 per hour
...-Star rated facility and one of the top nursing homes in Pennsylvania and right here in... ...Flower Manor? 5-Star CMS Rating - top quality, top staffing, top resident satisfaction... ...support Supportive Leadership - stable management and a team-focused culture Flexible Scheduling...QualityFull timePart timeReliefFlexible hoursWeekend work- CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full‑time role serving candidates in the... ...collaborating with providers, and supporting cost‑effective, high‑quality care. #J-18808-Ljbffr Santa Barbara Cottage HospitalQualityRemote jobFull time
$43 per hour
Registered Nurse (RN) - Men’s Health Clinic | Ageless Men’s Health Location: Staten Island... ..., NY. At Ageless, we focus on medically managed testosterone replacement therapy (TRT),... ...improve their overall health, confidence, and quality of life. What You’ll Do Day-to-Day As an...QualityHourly payDaily paidFull timeMonday to FridayWeekend work1 day per week- ...multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most... ...health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program....QualityFull timeWork at office
$60.52k - $129.62k
Position Summary Plans, monitors, and manages internal projects from initiation through timely... ...or meet the objectives of the Quality Management (QM) program. Using innovation... ...Required Qualifications Licensed Registered Nurse (RN) with an unrestricted license. Minimum...QualityHourly payFull timeTemporary workLocal area- ...seeking experienced Long Term Care Registered Nurses for a 13-week contract in a skilled... ...York. The role emphasizes consistent, high-quality nursing care for residents with chronic... ...interpersonal and organizational skills to manage fast-paced LTC settings and supervise #J...QualityContract workNight shift
- ...Responsibilities Job Details Performs utilization management functions, applying medical necessity... ..., dedicated to providing the highest-quality, compassionate clinical care for... ...Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design,...QualityDaily paidFull timeTemporary workPart timeFlexible hoursShift workAfternoon shift
- NYC Health and Hospitals in Queens is seeking a Head Nurse for Behavioral Health Service to direct the nursing regimen for patients in... ...lead care planning, coordinate with the health team, and ensure quality nursing practice. The role requires a NY State RN license and prior...QualityFull timeAfternoon shift
- ...seeking healthcare enthusiasts to join us. Job Summary The Nurse, Care Management is a compassionate and skilled clinician responsible for coordinating... ...teams, and community resources to ensure seamless, high-quality care delivery across the continuum. The nurse focuses on...QualityWork at officeFlexible hoursWeekend work
- IntelliResume is seeking an experienced Assistant Nurse Manager for SICU at Mount Sinai in New York, NY. The role requires leading nursing operations and ensuring quality patient care, both collaboratively and independently. The ideal candidate has a Bachelor of Science...QualityFull timeAfternoon shift
- Luminary Hospice is seeking a Regional Resource Nurse (RN) to provide clinical leadership and short-term operational support across multiple... ...stabilizes operations, covers staffing gaps, and ensures high-quality patient care during transitions, growth, or census increases....QualityTemporary workInterim role
- Responsibilities Travel Registered Nurse (RN) Opportunity Assignment Details Specialty... ...we and how can you make a difference? Quality care is our passion; improving lives is... ...Services, is a leading behavioral services management company. Our Adventure RN program offers...QualityBi-weekly payHourly payPermanent employmentFull timeLocal areaFlexible hoursShift workNight shiftDay shift
- MaziCTools is seeking a Freelance Utilization Management Nurse Consultant to work remotely in the United States. This full-time role requires... ...services, communicating with providers, and ensuring quality healthcare delivery. The ideal candidate should have proficiency...QualityRemote jobFull timeFreelanceWork at officeMonday to FridayWeekend work
$110k
About Discovery Management Group Discovery Management Group leads one of the nation’s most... ...Purpose with us at The Watermark Delegating Nurse - you’ll play an essential role in... ...coordinating care, and supporting high-quality resident outcomes every single day. Your...QualityFull timePart timeLocal areaFlexible hours- Looking for qualified Registered Nurse/Graduate Nurse to join our team! Location: The... ...Registered Nurse (RN) looking to provide high-quality care in a warm and supportive... ...assigning and distributing work, performance management, training new staff, and ensuring work performed...QualityFull timePart timeReliefLocal areaRemote workShift workNight shiftDay shiftAfternoon shift
- ...Health + Hospitals is seeking a Deputy Chief Nursing Officer to lead nursing operations,... ...educational programs, and ensure safe, high‑quality patient care. In the absence of the... ...least six years of progressive nursing management experience. #J-18808-Ljbffr NYC Health...Quality
- Metropolitan Jewish Health System, Inc. is seeking a Quality Management Coordinator to enhance end-of-life and palliative care services. The... ...standards. Applicants must be licensed Registered Professional Nurses in New York and hold a Baccalaureate Degree in Nursing. The...Quality
- ...CorVel is seeking a Quality Assurance Nurse to oversee case management quality assurance, provide mentorship to operations staff, and calibrate processes to ensure consistent delivery of CorVel's case management services. This remote role emphasizes education, training...QualityRemote work
- The Wellstar Health System in Georgia is seeking an RN Clinical Nurse to join an interdisciplinary team delivering individualized, high-quality patient care in a clinical setting led by Nurse Managers and a shared governance model. This role emphasizes evidence-based practice...Quality
- NYC Health + Hospitals is seeking a Registered Nurse to lead and coordinate nursing care within an assigned unit. You will develop, implement... ...nursing regimens and supervise nursing staff to ensure high-quality patient outcomes. The role requires an active NYS RN license,...Quality
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