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Mohawk Valley Health System · 3 hours ago

Quality Coordinator RN - Full Time - Days

Utica, NY

Full-time

Onsite

Mid Level

$73K/yr - $116K/yr

3+ years exp

Mohawk Valley Health System is seeking a Quality Coordinator RN to join their Care Management clinical team. The role involves patient-centered assessments and care coordination to meet state quality metrics, as well as auditing documentation and educating staff on best practices.

Health CareHospital

Responsibilities

Coordinate quality and performance improvement activities with MVHS Care Management staff and department leaders

Perform audits on member chart documentation for completion and compliance under current guidelines

Identify and review adverse outcomes for root cause. Review charts to ensure appropriate preventative measures and follow-ups are in place to drive improvement in the future

Review gaps in process or documentation with leadership. Identify opportunities for improvement. Develop/present staff education materials in conjunction with the leadership team

With leadership, implement action plans as well as monitor action plan effectiveness

Initiate and develop staff education based on audit findings

Serve as a subject matter expert on best practices in documentation and care management practices

Coordinate quality and regulatory activities and performance improvement actions with managers and leaders

Compile data/creates reports for quality and performance improvement activities

Interpret and implement practices related to federal, state, local regulations and credentialing standards

Carry Care Management caseloads

Contains costs when ordering member supplies, services and DME

Assist with other healthcare plan development and marketing activities

Maintain and comply with regulatory requirements

Perform related duties as directed

Qualification

Current RN licenseCPR certificationQuality improvement experienceProfessional nursing experienceCase management experienceProficient computer skillsEducate membersFlexibility in problem solvingAdditional languagesLeadership abilitiesOrganizational skillsCommunication skills