Quality Assurance Nurse - USRN NY

We are seeking a highly organized and detail-oriented Quality Nurse Analyst.

Essential Role and Responsibilities:

• Review clinical incidents.
• Follow standard operating procedures (SOP) to determine root cause, risk, and resolution for incident.
• Process interim medical orders as needed to notify physician of patient needs and changes in condition such as fall, wound, injury and post-hospitalization
• Perform follow-up calls for patients recently discharged from acute hospitalization and who are considered high risk for readmission
• Communicate as needed to client, caregiver, coordination teams, payers (case management / service coordination), field RNs, providers and key stakeholders to ensure client safety and continuity of care.
• Follow regulatory guidelines to manage clinical incidents to key deadlines.
• Share trends and insights noted in aggregate data to support continuous quality improvement.
• Collaborate regularly with assistant director of nursing services to review clinical cases and client needs.

Required Skills and Abilities:

• Detail oriented, highly organized, and self-motivated.
• Strong interpersonal skills – verbal and written communication
• Strong clinical judgment and care planning skills
• Collaborative with key stakeholders

Education and Experience:

• RN, NYS license
• Minimum of 2 years nursing experience
• Managed care experience preferred

Industry standards applicable to the state depending on work experience and level of expertise.

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.