LPN Quality Reviewer- Licensed Practical Nurse

We offer a stable, rewarding work environment with opportunities for professional growth and a comprehensive benefits package, including:

Medical, Dental & Vision Insurance

Accident & Long-Term Disability Coverage

Generous Paid Time Off (PTO)

401(k) Retirement Plan

Company-Paid Life Insurance

Employee Recognition Programs

Professional Growth & Development Opportunities

Employee Assistance Program

Employee Perks & Discount Program

Job Details Overview: As a Quality Reviewer, you will play a pivotal role in coordinating and managing patient care to ensure the highest standards are met. This position involves supervising clinical personnel and ensuring the delivery of quality home care services.

Responsibilities:

Receive case referrals and assess patient needs to assign appropriate clinicians.

Review and evaluate each case, providing guidance to clinicians for effective performance.

Reviews and appropriately codes all Oasis Assessments.

Instruct and guide clinicians to promote quality care delivery, being available to assist as needed.

Review patient clinical information, including diagnosis, medications, and procedures.

Assist in establishing therapeutic goals and developing care plans.

Organize and lead case conference meetings to facilitate care coordination.

Conduct quarterly record reviews and communicate findings to appropriate personnel.

Assist in screening, interviewing, and orienting new personnel.

Assist in planning and implementing in-service and continuing education programs.

Contribute to the formulation, revision, and implementation of policies and procedures.

On-Call Rotations for after hour services.

Perform direct patient care duties as needed.

Maintain compliance with professional standards and principles.

Manage a team of Clinicians and follow up to ensure all necessary documentation is completed timely and follow up actions if indicated.

Qualifications:

Licensed Practical Nurse (LPN) with current licensure in New York

Bachelor’s degree in nursing or related field preferred

Coding Certified ICD 10 preferred

Previous experience in home care or healthcare management preferred

Strong leadership and communication skills

Ability to prioritize and multitask effectively

Proficient in Microsoft Office Excel, Microsoft Word and electronic medical records systems

Verbal and written communication skills in English.