Help members navigate healthcare by finding providers, coordinating referrals, resolving routine barriers, and documenting care activities while collaborating with clinical and support teams.
Quality Assurance Nurse - USRN NY
📜 Description
- Review clinical incidents and use SOPs to determine root cause, risk, and resolution.
- Call high-risk patients after acute hospital discharge to support follow-up care.
- Coordinate with clients, caregivers, care teams, payers, field nurses, providers, and other stakeholders to support safety and continuity of care.
- Share aggregate trends to support quality improvement and review cases with the assistant director of nursing services.
🛠️ Requirements
- Active RN license in New York State.
- Minimum of 2 years of nursing experience.
- Managed care experience preferred.
- Strong clinical judgment and care-planning skills.
- Strong verbal and written communication and interpersonal skills.
- Detail-oriented, organized, self-motivated, and collaborative.
- Manage incidents within regulatory guidelines and required deadlines.
✨ Benefits
- Remote work flexibility.
- Process interim medical orders to notify physicians of patient needs and changes in condition.
Full job description
At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.
The Opportunity:
We are seeking a highly organized and detail-oriented Quality Nurse Analyst.
This position is remote and offers you the flexibility of working from home.
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
Service Fee:
Industry standards applicable to the state depending on work experience and level of expertise.
Hours:
Monday to Friday - 09 AM EST to 06 PM EST
Why Limitlessli?
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.
Essential requirements:
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.
Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.
JOIN OUR TEAM!!
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