Full-Time/Part-Time Full-Time
Location UR Medicine Home Care Certified Services
Salary $67,700.00 - $115,045.00
Description Position Summary: The Quality Reviewer Team Lead assists the Quality Improvement Manager with the oversight and development of the Clinical Document Analysts (CDA) and has the responsibility of onboarding new team members, role modeling of best practices of quality workflows/responsibilities, iCare values and the implementation of process improvements within the Quality and Education Department as well as the other agency service lines. The position serves to provide appropriate support and promote staff excellence, quality patient care, positive patient outcomes, and staff retention
Schedule: Monday - Friday, 8am to 430PM
Qualifications - Education: Physical Therapy or Occupational Therapy degree or Nursing Degree from an accredited school.
- Experience: Two (2) or more years of experience working in Home Health or Hospice, working with Medicare Regulations and/or experience in home care criteria and processes related to Managed Care.
- OASIS certification within one year of hire.
- Licensure: Currently licensed as a Physical Therapist, Occupational Therapist or Registered Nurse in the state of New York.
- Valid NY State Driver's License and reliable transportation.
- Current BLS CPR certification or ability to obtain upon hire.
Responsibilities Qualified individuals must be capable of performing the following essential duties and responsibilities, with or without reasonable accommodations:
- Performs oversight responsibilities as delegated by department leadership and assists with the coordination of quality review deliverables via daily oversight of department work queues, staff coordination, and auditing.
- Auditing in collaboration with the Quality Improvement Manager to facilitate reviewing of the Clinical Document Analyst quality reviews to assess accuracy and critical thinking for the development of education, training, and interventions.
- Collaborate with the Quality Improvement Manager to facilitate department education and training based on review auditing and CDA interactions.
- Collaborate with the Quality Improvement Manager to improve quality department workflows, process development, audit tracking, and Department/Service line continuous improvement projects.
- Serve as a resource to the CDAs, clinical leadership, and clinical staff related to clinical assessment and documentation for quality patient care and positive outcomes across service lines.
- Participate in department and team meetings to provide education on best practice, documentation, and regulatory updates (OASIS, HOPE, CMS).
- Liaise with reimbursement and regulatory teams to anticipate or mitigate payment adjustment changes due to documentation or timeliness issues and assist with preparing mitigation strategies.
- Proficient use of Home Care electronic medical record and Decision Support software. Prepare, distribute and present reports related to department updates and clinical findings as needed.
- Monitors key agency reports to identify actual/ potential performance improvement needs.
- Completion of audits across service lines as assigned.
- Other duties as assigned.
Salary: $67,700.00 - $115,045.00
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This position is currently accepting applications. 
