Quality Improvement Reviewer

Source API remote eligibility restrictions: United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
Minimum of 3 years in clinical, operations or quality improvement required. Minimum of 3 years in healthcare delivery required.
Required Skills
Analytical SkillsMicrosoft OfficeOrganizational skillsInterpersonal skillsQuality Assurance

Requirements

  • Minimum of 3 years in clinical, operations or quality improvement required.
  • Minimum of 3 years in healthcare delivery required.
  • Bachelor’s Degree in Nursing, Social Services or related field.
  • Certification/licensure in a health-related field (e.g., LPN, RN, or LSW) preferred.
  • Excellent organizational, analytical, and interpersonal skills.
  • Detail-oriented with the ability to manage time and prioritize projects.
  • Effective oral and written communication skills with attention to detail.
  • Familiarity with suite of Microsoft Office programs.
  • Valid driver’s license and car insurance as required by State law.

Responsibilities

  • Adheres to the CareStar Rule in performance of job responsibilities.
  • Understands and complies with CareStar Policies and Procedures.
  • Maintains confidentiality as related to patient information.
  • Completes an average of 30-40 audits per week using program-specific reviewer guidelines to ensure inter-rater reliability.
  • Reports findings promptly to the appropriate Supervisor.
  • Coordinates and communicates with the Clinical Teams in all programs.
  • Participates in Root Cause Analysis and brings forward to the QI Supervisor any trends/patterns which have been identified during the chart review/audit process.
  • Participates in QI projects and Improvement initiatives, as needed.
  • Is available to serve on work groups, community groups, committees, or other task forces and attends meetings as requested.
  • Performs other projects and duties as assigned.
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