(RN) Quality Review Manager- Registered Nurse
$90k - $105kPersonal-Touch Home Care
Brooklyn, NY This is a full time, in-person position based out of Brooklyn, NY. RN new grads are welcome. Pay: $90,000 - $105,000 annually About 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. Benefits Employee Recognition Programs: We acknowledge and celebrate your contributions. Comprehensive Health Benefits: We offer an inclusive package with Medical, Dental, Vision, Accident, and Long-Term Disability Coverage to ensure access to quality medical care while promoting overall wellness. Generous Paid Time Off: We provide generous paid time off to ensure you can recharge and return to work refreshed, leading to greater productivity and job satisfaction. We support a healthy work-life balance. Retirement Benefits: We offer a 401k plan to secure your financial future and help you save for retirement. Life Insurance: We offer company paid life insurance providing peace of mind and financial protection for you and your loved ones. Opportunities for Professional Growth and Development: Empowering you to thrive and grow. Employee Assistance Program: Supporting the well-being of you and your family. Perks Program: Exclusive deals and offers on products, services, and experiences you need and love. Job Details Overview As an 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 Receive case referrals and assess patient needs to assign appropriate clinicians. Review and evaluate each case, providing guidance to clinicians for effective performance. Instruct and guide clinicians to promote quality care delivery, being available to assist as needed. Review patient clinical information, including diagnosis, medications, and procedures. Assist in establishing therapeutic goals and developing care plans. Attend case conference meetings to facilitate care coordination. Conduct concurrent chart and record reviews and communicate findings to appropriate personnel. Assist in screening, interviewing, and orienting new personnel. Assist in planning and implementing in-service and continuing education programs. Contribute to the formulation, revision, and implementation of policies and procedures. Perform direct patient care duties as needed. Maintain compliance with professional standards and principles. Perform 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-time We 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. #J-18808-Ljbffr
$85k - $106.3k
...Overview Leads interdepartmental Quality Improvement (QI)... ...departments—including Care Management, Utilization Management, Provider... ...gaps. Performs clinical reviews with network providers to... ...to practice as a Registered Professional Nurse in New York State or New Jersey...SuggestedWork experience placementFlexible hours$90k - $105k
...Personal Touch Home Care is seeking an RN Clinical Manager in Brooklyn, NY. In this full-time role, you will coordinate and manage patient care, supervise clinical staff, and ensure quality home care services. Required qualifications include a current RN license, a BSN...SuggestedFull time$90.13k - $112.66k
...New York is seeking a full-time Registered Nurse Manager. The role involves overseeing quality nursing care, patient education,... ...should have a BSN and 3-5 years of RN experience. Responsibilities... ...initiatives, and conducting performance reviews. This position offers a...SuggestedFull timeRelocation package- ...health center in Bronx, NY is seeking an experienced Registered Nurse Manager to lead clinical staff and ensure high-quality patient care. The role includes duties such as... ...audits. Candidates must hold a BSN, a valid NY RN License, and have 3-5 years of relevant...SuggestedRelocation package
$91.7k - $163.7k
...Position Overview Registered Nurse Manager – Gastroenterology – Lake Success, NY... ...Lead GI endoscopy team, ensure quality, staff supervision, and... ...and patient outcomes. Prepare RN schedules, plan unit staffing... ...for annual bonus and merit reviews. Equal Employment Opportunity...SuggestedTemporary workRelocation package$125k
...recruiting for a Full-time Quality Assurance Registered Nurse Supervisor to work alongside... ...oversight to the LPN/RN nursing staff. To maintain... ...carried out by the staff. Manage notifications to proper authorities... ...revised, as needed. Review appropriate documentation...Full timeWork experience placementWork at officeImmediate start- ...A healthcare quality assurance organization is looking for a Clinical Quality Assurance Coordinator. This fully remote role requires an active nursing license (RN, LPN, or LVN) to perform thorough peer reviews, ensuring compliance with client and regulatory standards....Remote workMonday to Friday
- ...Clinical Review Nurse – Prior Authorization (Remote CST Hours) Location: Remote Schedule: Monday... ...clinical information within health management systems Assist with educating providers... ...or Bachelor’s degree in Nursing Active RN license required (Texas RN license or Compact...Contract workRemote workMonday to Friday
- ...professional on our Medical Management/Health Services team.... ...Performs concurrent reviews, including determining... ...level of care Reviews quality and continuity of care... ...Accredited School of Nursing or Bachelor’s degree... ...Preferred Qualifications RN‑Registered Nurse-State Licensure...Full timePart timeWork at officeRemote workFlexible hoursWeekend work
- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting... ...collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates should have an ADN...Work at officeRemote work
$80k - $85k
...Job Description Clinical Review Nurse - RN or LPN (Hybrid) Compensation and Benefits... ...Reports to Team Lead, Clinical Quality and Record Review. Works independently... ...AHRQ PSI report, annual clinical quality management program report). Participate in continuous...- ...using HEDIS specifications for Quality Improvement and Corrective Action Plans • Review generic charts, and other... ...address them. • Engage Fund Registered Nurses (RN), Health Educators (HE) and Social... ...and projects as assigned by management Qualifications • Valid...Seasonal workFlexible hoursAfternoon shift
$58 - $60 per hour
...Description NOW HIRING: Wellness QA Nurse Manager (RN) Midtown Manhattan, NY Full-Time... ...Wellness QA Nurse Manager (RN) to lead quality improvement initiatives, support... ...action initiatives using HEDIS measures Reviewing charts, audits, and population health data...Weekly payFull timeContract workImmediate start$58 - $60 per hour
...Wellness QA Nurse Manager (RN) - Midtown Manhattan | Full-Time Contract Pay: $58 - $60/hr Midtown... ...Nurse Manager who knows how to connect quality, data, and clinical insight—and... ...HEDIS measures and corrective action plans Review charts + population health data to identify...Full timeContract workFlexible hours$55 per hour
...Our client, a clinical AI tool, is actively looking to hire medical education experts to serve as Panel Review Subject Matter Experts for an AI-powered learning platform supporting PA students in pre-clinical training. This advanced review role provides oversight and...Hourly payContract work- ...Dane Street, LLC is seeking a QA Supervisor to oversee the review process of Physician reports and medical records, ensuring accuracy and completeness. You will supervise QA staff, manage the File Review Board, and facilitate communication with physicians and clients....
- ...Crossing Hurdles is seeking a Technical QA Lead specializing in HTML/CSS for a contract role. The position involves reviewing front-end code for quality, providing feedback, and ensuring adherence to project guidelines. Candidates must have a Bachelor’s or Master’s degree...Contract workRemote workFlexible hours
$210k - $220k
Director - Quality Assurance, Credit Review Americas (CRAD) About the Team CRAD’s mission is to operate as a third line of defense (“3rd LOD”) independent... ...the credit approval process and provide Bank senior management and Board of Directors an independent assessment and...Remote jobWork at officeLocal areaWorldwide- ...solutions that improve the quality and affordability of... ...results orientated Nurse Supervisor to join... ...responsible for Utilization Management (UM) activities,... ...of clinical staff Reviewing pre-authorization requests... ...and unrestricted Registered Nurse (RN) Associate’s Degree is...Full timeRemote work
- ...About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered... ...of the Annual Standing Order Review and Internal Classification of... ...Graduate of an accredited School of Nursing (RN). Current appropriate state...
- ...role:** As a Clinical Manager with Fresenius Medical... ..., you will ensure that quality patient care is delivered... ...Clinical Manager/Charge Nurse regarding the provision... ...Manager/Charge RN acting as nurse manager... ...questions including the review of patient satisfaction...Temporary work
- ...Job Description Beth Abraham Center is hiring a Registered Nurse (RN) Unit Manager in Bronx, NY. Responsibilities Handle all supervisory... ...Maintain the standards of care for the unit Review Resident records & quality of care Monitor overall care & review individual Residents...
- ...Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves... ...have a strong nursing background with RN licensure and at least 4 years of clinical... ...engagement. Join us to support the Case Management department and enjoy competitive pay...Remote work
- ...contractor position. We need a Nurse Practitioner who can... ...will be responsible for reviewing pertinent patient data, developing... ...(RPM) and Chronic Care Management (CCM) services. PRIMARY... ...care plans Support Data Quality Reviewers, LPN Reviewers and RN Reviewers in building...For contractorsRemote work
$31 - $38 per hour
...coordinate wellness and disease management for members with chronic... ...with industry standards. Review gaps in care and medical and... ...established productivity, quality, and turnaround time standards... ...Graduate of an accredited Registered Nurse (RN) program with a current,...Hourly payRemote work- ...Expert for their Surgical Tech course. This remote role involves reviewing and validating course content to ensure clinical accuracy and... ...commitment of 20-30 hours over 13 weeks. Join us to enhance the quality of our healthcare educational offerings and help prepare...Contract workRemote workFlexible hours
- ...the daily delivery of nursing care and nursing staff... ...of duty to ensure that quality care is maintained,... ...and emotional status. Review the nurse's notes to ensure... ...to practice as a Registered Nurse in the state employed... ...-year experience in a management position preferred....Full timeImmediate startTrial periodAll shiftsShift work
$130k - $135k
...TapestryHealth is dedicated to improving the quality of care for patients in skilled nursing facilities. We deliver innovative... ...a Team Lead in the Chronic Care Management (CCM) department, you will... ...will be responsible for chart reviews, onboarding process, supporting...Work experience placementWork at officeRemote workWeekend work- ...the Direction of the AVP of Nursing, the Assistant Director of Nursing... ...nursing units to ensure high quality, effective patient care and... ...with the senior nursing management leadership team to evaluate nursing... ...with Customer Service goals; reviews service delivery to exceed...
$65 - $95 per hour
...consulting opportunity for nursing professionals... ...structured healthcare workflow review. This role supports... ...data review, and high-quality project execution. Selected... ...Nursing education, RN/LPN/LVN qualification,... ...care, home health, case management, telehealth, or healthcare...Remote jobHourly payWeekly payJob sharingContract workPart timeFor contractorsFlexible hours
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