Quality Review & Staff Education Specialist

Req #:

2833

Job ID:

14330

Job Location:

New York, NY

Zip Code:

10006

Category:

Managed Care Nursing

Agency:

Elderplan

Status:

Regular Full-Time

Office:

Office-based

Salary:

$92,276.31 - $115,345.38 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No?  You will here!  You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals.  You take care of our patients, residents and health plan members, and we will take care of the rest!

 

Benefits include:

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• FREE Online RN to BSN and MSN degree programs!
• Tuition Reimbursement for all full and part-time staff
• Dependent Tuition Reimbursement for clinical staff!
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

 

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

Assessment Quality Review Specialist and Staff Educator is responsible for quality assurance, accuracy and overall integrity of the UAS-NY assessment data and visit documentation completed by core team nurses as well as, business partners’ nurses. This responsibility is fulfilled by performing assessment audits, identifying trends that require staff retraining, and implementing corrective action plans in collaboration with Clinical management staff. The position is also responsible for ongoing orientation, training and education of Assessment Nurses conducting UAS-NY assessments. He/She will participate in establishing educational modules for staff orientation and re-training. Position requires to travel as part of ongoing orientation, training and education, as well as to perform UAS-NY assessments on an as needed basis.Conduct Enrollment Visits follow up for HF nurses and business partners, including NTUC note completion, Visit Outcome Follow Up. Assist with completion of Deferral Calls, and Transfer Calls and notify appropriate parties of outcome. Maintain accurate productivity log of Enrollment processes follow-up. Prepare for RFS (Request for Service) and IDT (Interdisciplinary Team) meetings by conducting UAS-NY assessment review and relevant documentation conducted by core field staff and business partners to ensure correlation within the assessment and validation of Tasking Tool completion. Participate in RFS and IDT meetings, follow-ups with Assessment Nurses if documentations’ amendments are required. Identifies inconsistencies trends and provides suggestions for corrective action plan for identified assessment deficiencies to Field Assessment management. 

Qualifications:

Apply