Quality Review Manager RN

Newport News, VA

About Us: With over 50 years of dedicated service to our communities, Personal Touch has been a trusted provider of home care. Our priority lies in ensuring exemplary patient care while fostering a supportive and empowering workplace culture for all team members. We are currently seeking compassionate and skilled professionals to join our team and continue our legacy of providing personalized and attentive care to patients in the comfort of their own home.

Why Choose Us: At Personal-Touch Home Care, we are committed to creating a rewarding and fulfilling experience for our team members. Our established history and reputation provide a stable and trusted foundation for your career. Join us in positively impacting the lives of our patients and their families.

Recognition Programs: We acknowledge and celebrate your contributions.

Comprehensive Health Benefits: We offer an inclusive package with Medical, Dental, Vision, Accident, and Long-Term Disability Coverage to ensure access to quality medical care while promoting overall wellness.

Generous Paid Time Off: We provide generous paid time off to ensure you can recharge and return to work refreshed, leading to greater productivity and job satisfaction. We support a healthy work-life balance.

Retirement Benefits: We offer a 401k plan to secure your financial future and help you save for retirement.

Life Insurance: We offer company paid life insurance providing peace of mind and financial protection for you and your loved ones.

Mileage Reimbursement: We make sure you're compensated for your business travel.

Opportunities for Professional Growth and Development: Empowering you to thrive and grow.

Employee Assistance Program: Supporting the well-being of you and your family.

Perks Program: Exclusive deals and offers on products, services, and experiences you need and love

Job Overview: The Quality Review Manager is responsible for ensuring that patient care is coordinated and managed appropriately.

RESPONSIBILITIES:

• Receives case referrals. Reviews available patient information related to case, including disciplines required, to determine home care needs.
• Reviews each case by evaluating the services provided by clinicians, performs record review, instructs and guides clinicians to promote more effective performance and delivery of quality home care services and is always available during operating hours to assist clinicians as appropriate.
• Establishes patient’s clinical diagnosis according to referral documentation and coding guidelines, ensuring appropriate ICD-10 Coding and sequencing as it relates to the patient’s medical condition including any co-morbidities.
• Assists clinicians in establishing the POC including but not limited to medications review, ordered procedures/treatments, short and long-term therapeutic goals.
• Oversight of all patient care services and personnel.
• Prospective review of OASIS assessments to include Start of Care, Resumption of Care, Recertification, Transfers, and Discharge to ensure appropriateness, completeness, and compliance with state and federal regulations.
• Consults with the appropriate clinician to clarify any issues and/or corrections to documentation; documents same in the medical record.
• Track any trends issues while reviewing OASIS documentation and alerts the DOE for additional training as needed.
• Directs case conference meetings with Organization personnel to facilitate coordination of care.
• Conducts quarterly record reviews and communicates findings and recommendations to appropriate Organization personnel.
• Assists in the orientation of new Organization personnel as requested.
• Assists Director of Education in the planning, implementation and evaluations of in-service and continuing education programs.
• Performs direct patient care duties as appropriate.
• Complies with accepted professional standards and principles.
• Promotes customer service to all Organization personnel.
• Stays informed about changes in the field of home health care.
• Performs other duties and activities as delegated by the Administrator/Branch Director/Branch Manager.
• Performs all other duties as assigned.
  
  
  

QUALIFICATIONS:

• Registered Nurse (RN) with current licensure to practice professional nursing in the State.
• Graduate of an accredited nursing school; BSN degree preferred.
• Two (2) years of prior home health care experience.
• One (1) year of management or supervisory experience in a health care setting, preferably home care.
• Complies with accepted professional standards and practice.
• Must be a licensed driver with an automobile that is insured in accordance with state requirements and is in good working order.
• Complies and maintains current CPR certification.
• Demonstrates excellent observation, verbal and written communication skills.
• Verbal and written communication skills in English.
  
  
  

Benefits:

• 401(k)
• Dental insurance
• Dependent health insurance coverage
• Employee assistance program
• Employee discount
• Health insurance
• Life insurance
• Mileage reimbursement
• Paid time off
• Vision insurance
  
  
  

We are excited to welcome passionate and dedicated individuals to join our team at Personal Touch Home Care. We’re more than just a company; we’re a close-knit family dedicated to supporting each other’s success and well-being. Apply now and join us in making a positive impact on the communities we serve.

#VARN