RN Clinical Documentation Reviewer

New
F
FreedomCareHome Care
NYC, NY / RemoteFull-TimeMiddle
Salary90,000 - 105,000 USD per year
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Job Details

Required Skills
Quality Assurance

Requirements

  • Active and unrestricted New York State Registered Nurse (RN) license.
  • Minimum one (1) year of home care experience.
  • Knowledge of New York State Department of Health requirements and regulations.
  • Proficiency with electronic medical record or workflow tracking systems.
  • Strong clinical assessment and documentation review skills.
  • Ability to interpret regulatory and quality standards.
  • High attention to detail and ability to manage multiple deadlines.
  • Strong written and verbal communication skills for clinical coaching.
  • Ability to work independently in a hybrid environment.
  • Commitment to HIPAA and patient confidentiality.

Responsibilities

  • Review clinical documentation including Start of Care Assessments, Reassessments, and Care Plans for accuracy and compliance.
  • Collaborate with field nurses to resolve documentation deficiencies, missing items, or noncompliant records.
  • Manage documentation status and workflows within Medflyt to meet submission deadlines.
  • Submit completed documentation for physician review and signature.
  • Conduct quality assurance audits and maintain tracking reports for clinical leadership.
  • Provide coaching and education to clinical staff on documentation standards and best practices.
  • Conduct occasional patient home visits to support agency or patient care needs.
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90,000 - 105,000 USD per year
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