Our client in the Healthcare industry is looking for a Healthcare Quality Assurance Manager.

JOB PURPOSE

The ideal candidate will be expected to review and approve clinical documentation, educate administrative and clinical staff on correcting deficiencies, ensure compliance with documentation and reimbursement requirements, participate in ongoing training and quality improvement initiatives, and provide guidance to staff on best practices. They should demonstrate sound judgment, strong attention to detail, excellent organizational and communication skills, and the ability to effectively prioritize and manage multiple responsibilities in a fast-paced healthcare environment.

Independent judgment will be required to plan, prioritize and organize diversified workload. The incumbent will be expected to maintain a proper dress code and professional demeanor at all times. They must possess a cheerful work attitude and foster a positive team spirit both within the department as well as between the other departments in support with the overall philosophy of the organization and fellow employees.

KEY ROLES & RESPONSIBILITIES:

• Review Nurses notes documents for accuracy and completeness prior to locking and submitting data electronically. Return any incomplete or incorrect notes for review.
• Reviews physician orders, medication profiles, aide care plans in relation to the nurses’ notes QA.
• Review all Medicaid and other episodic payers’ clinical records at the local level to assure appropriate documentation for reimbursement. This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to the care plan, and evidence of communication between disciplines.
• Review Nurse’s notes for accuracy and completeness following the plan of care prior to approval.
• Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensure compliance through review of documentation and care coordination activities.
• Participate in performance improvement activities, maintain ongoing clinical knowledge through internal/external training programs, provide interpretation of knowledge and direction to staff.
• Identify clinical problem areas and document deficiency trends in a proactive approach.
• Educate administrative and clinical associate staff in the correction of these deficiencies.
• Participate in biweekly meetings and report ongoing issues in the QA /Clinical departments
• Submit weekly reports for QA including how many notes QA’d made within the week, identify ongoing issues that require further review.
• Other duties as assigned.

EDUCATIONAL BACKGROUND & CAREER EXPERIENCE

• Bachelor’s Degree in Nursing.
• Should be a licensed and registered Nurse in good standing.
• Minimum of 3 years of professional experience

Reasoning Ability

• Strong ability to apply common sense understanding, judgment, and leadership to carry out instructions furnished in written, oral, or diagram form. 
• Self-starter with the ability to work in a fast-paced environment moving multiple initiatives forward concurrently. 
• Ability to prioritize job tasks and multitask functions. 
• Creative problem solver with a strong attention to detail. 

Skills

• Must have superb interpersonal and organizational skills with proven ability to work independently and in a team setting.
• Must have exceptional written and oral communication skills with enthusiasm and drive to significantly contribute to a mission-based organization.

You can join our WhatsApp Talent Community with the following link to see our open positions: QAZI by Flexi Personnel.

All applicants are advised to adhere to the application guidelines for consideration. Only shortlisted candidates will be contacted.

NB: Flexi Personnel does not charge candidates for job placement.