Quality Management Nurse (RN)

Quality Management RN

Brooklyn, NY

Monday - Friday 8:30 am - 5:00 pm

FlexStaff is seeking a Quality Management RN for our client, a leader in home health care. This position will be located in the Brooklyn office location.

This position will ensure regulatory compliance and continuous performance improvement.

Responsibilities:

• Ensure regulatory compliance within the Quality Management Department.

• Contribute to continuous performance improvement initiatives.

• Prepare and manage appeals processes.

• Track and manage grievances.

• Analyze patient satisfaction data to identify areas for improvement.

• Conduct competency evaluations for staff.

• Maintain professional standards in all interactions and tasks.

• Demonstrate meticulous attention to detail in all quality-related activities.

• Uphold a commitment to excellence in patient care and staff support.

Requirements:

• Active New York State (NYS) Registered Nurse (RN) License.

• Strong knowledge of Certified Home Health Agency (CHHA) regulations (federal, state, and DOH).

• Demonstrated understanding of Medicare Conditions of Participation (CoPs) for home health, including documentation, visit frequency, and billing compliance.

• Experience conducting clinical record reviews for accuracy, completeness, and regulatory compliance.

• Familiarity with Outcome and Assessment Information Set (OASIS) data collection, quality reporting, and reimbursement.

• Proven ability to analyze quality metrics, identify trends, and implement corrective action plans.

• Prior involvement in survey readiness, audits, or responses to regulatory bodies (e.g., OMIG, CMS, DOH).

• Strong communication and collaboration skills with clinical, administrative, and operational teams.

• Proficiency in Electronic Medical Records (EMR) systems (e.g., HCHB or similar platforms).

Benefits:

• Bonus opportunities

• Tuition reimbursement

• Medical, dental, and vision insurance

• 401(k) plan with company match

• Supportive management team

• Robust time off policy, including holidays, vacation, personal days, floating holiday, cultural Heritage Day, sick days, and your birthday off!

• Employee discount programs

Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).