VillageCare · 4 days ago
Quality Assurance Clinical Auditor - RN
New York, NY
Full-time
Hybrid
Mid, Senior Level
$110K/yr - $115K/yr
3+ years expVillageCare is a community-based, not-for-profit organization serving individuals with chronic care needs. As a Quality Assurance Clinical Auditor - RN, you will ensure compliance with healthcare standards through auditing practices, training staff, and developing processes while maintaining regulatory adherence.
Health CareHospitalNon Profit
Responsibilities
Ensure all Clinical and Medical Management activities adhere to federal and New York State regulatory requirements, including CMS and NYSDOH mandates
Identify risks, develop processes, and conduct audits in collaboration with business owners to maintain compliance with healthcare standards
Support the development and revision of policies and procedures
Provide training and support to both clinical and non-clinical staff
Monitor regulatory changes and industry trends, educate colleagues, and facilitate initiatives that promote a culture of excellence and integrity
Contribute to corrective action plans and compliance tracking, ensuring that the organization remains audit-ready
Qualification
Required
Current NYS Registered Nurse License
Bachelor of Science in Nursing (BSN)
3-5 years of experience in Utilization Management or Managed Care
Specific knowledge of quality monitoring and compliance for Medicare lines of business
Proficiency in quality measurement systems
At least two years of experience in workforce development and resource management
Strong leadership, collaboration, and motivational skills
Ability to multitask and thrive in a fast-paced environment
Excellent written and verbal communication skills
Expertise in data analysis
Benefits
Generous PTO package
10 Paid Holidays
Personal and Sick time
Medical/Dental/Vision
HRA/FSA
Education Reimbursement
Retirement Savings 403(b) with a yearly 5% employer contribution
Life & Disability
Commuter Benefits
Paid Family Leave
Additional Employee Discounts
Company
VillageCare
VillageCare is a creative and creative ongoing care firm that helps hard to understand the present condition of need for people they serve.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Debra Tirado
Chief Financial Officer
Recent News
Business Journals
2023-04-26
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