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Quality Management Nurse / RN

$110k

RCM Healthcare Services

Quality Management Nurse / RN
Compensation and Benefits
Salary: $110,000 annually
Bonus/Benefits:
• $40,000/total tuition reimbursement, $10,000/yearly
• 4 weeks vacation, 8 sick days, and additional holidays
Location: On-site in Brooklyn, NY
Organization: Large, Respected Certified Home Care Agency (CHHA)
Position Summary
We are seeking an experienced and detail-oriented Quality Management Registered Nurse to join our Quality Management Department. This role is responsible for supporting regulatory compliance, promoting clinical excellence, and driving quality and performance improvement initiatives across home health programs. The ideal candidate will possess strong analytical skills, sound clinical judgment, and the ability to identify opportunities for process improvement while ensuring high standards of patient care and compliance.
Responsibilities
Schedule/Shift: Monday – Friday, 8:30 AM – 5:00 PM
Key Duties:

  • Support quality assurance and performance improvement initiatives within the organization.
  • Prepare and review appeals, track grievances, and conduct patient satisfaction analyses.
  • Perform ongoing audits and competency evaluations to ensure compliance with regulatory and organizational standards.
  • Collaborate with interdisciplinary teams to identify trends, implement corrective action plans, and enhance clinical outcomes.
  • Participate in survey readiness activities and assist in responses to regulatory audits or corrective action requests.
Requirements
Licenses and Certifications:
  • Active New York State RN license
Skills:
  • Minimum of 3–5 years of experience in home health quality management or compliance.
  • CHHA, QA/QI, or audit background preferred.
  • Comprehensive knowledge of CHHA regulations and applicable federal, state, and Department of Health (DOH) requirements.
  • Strong understanding of Medicare Conditions of Participation (CoPs) for home health, including documentation, visit frequency, and billing compliance.
  • Experience conducting clinical record reviews for accuracy, completeness, and compliance with regulatory standards.
  • Familiarity with OASIS data collection, quality reporting, and reimbursement processes.
  • Demonstrated ability to analyze quality metrics, identify performance trends, and drive quality improvement initiatives.
  • Hands-on experience with survey readiness, audits , and interactions with regulatory agencies such as OMIG, CMS, or DOH.
  • Excellent communication and collaboration skills with the ability to partner effectively across clinical, administrative, and operational teams.
  • Proficiency in Electronic Medical Record (EMR) systems, preferably HCHB or similar platforms.


About Us
RCM Healthcare Services’ mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.
 
Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.


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Vacancy posted 4 hours ago
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