Reviews active participants clinical records in accordance with Federal, State, and other regulatory agency requirements.
Reviews charts in order to maintain optimum level care.
Identifies quality improvement opportunities and assets in resolving those participant care issues that have been repeated or patterned.
Maintains current knowledge of New York States Department of Health CMS PACE regulations including program discipline when needed.
Conducts audits of participant clinical records on an ongoing basis to ensure compliance with agency policiesand PACE regulations. Collect all audit findings and make sure that corrections are completed.
Review all enrollment packets before submission for HRA approval.
Review all initial nursing assessments.
Qualifications:
Current NY State Registered Nurse License
3-5 years of experience as a RN manager/supervisor