Quality Assurance Nurse, Sr. jobs in Missouri

Quality Assurance Nurse, Sr. evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Being a Quality Assurance Nurse, Sr. reviews and analyzes customer complaints. Helps train staff on new or improved clinical practices. Additionally, Quality Assurance Nurse, Sr. requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. To be a Quality Assurance Nurse, Sr. typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Quality Assurance Nurse Manager RN Evenings
  • Arbor View Nursing & Rehabilitation
  • Cedar, MO FULL_TIME
  • Quality Assurance Nurse Manager RN (QA Nurse Manager – RN) Skills and Characteristics:

    Many skills and personality traits help to ensure that an individual accomplishes all goals as a Quality Assurance Nurse Manager. A successful candidate in this position must be well-organized, open-minded, decisive, and flexible. The Quality Assurance Nurse Manager - RN must be able to communicate well with others, work as a team, and lead others by example and direction. Good writing skills and extensive computer experience are necessary. Knowledge of the medical, insurance and basic health-care industries is a must.


    Quality Assurance Nurse Manager RN Tasks and Responsibilities:

    QA nurse manager RN reporting to the Director of Nursing provides the vision, leadership and management necessary to ensure that our building has the business operations strategy, plans and operational controls, administrative and reporting procedures, and people and systems in place to effectively grow the organization and ensure financial strength and operating efficiency.

    Be able to produce, organize and analyze data to define and evaluate trends prior to the onset of compliance issues. Determine causation of such trends, applying change in the most appropriate manner with regards to profitability while maintaining practice within regulatory guidelines.

    Ensure compliance with local, state, and federal laws, Medicare regulations and company policies and procedures.

    Assist with development, oversight and management of documentation audits, policies, and procedures.

    Monitors department workflow and schedule to ensure productivity expectations are met and to ensure effective operations / relations.

    Advises of possible trends in inappropriate utilization (under and/over) of the Risk Adjustment.

    Identify opportunities in the Focus Care system and other tools available to manage the workflow and improve HCC code capture/resolution more effectively.

    Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.

    Check chart assignments every day and accurately report all hours worked on a weekly basis.

    Maintain quality and production standards required by company.

    Comply with the Standards of Ethical Coding as set forth by the American Health Information

    Strong clinical knowledge related to chronic illness diagnosis, treatment, and management.

    Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts.

    Provides direction on the implementation and modification of policies, rules, regulations, and contracts to further the goals of the program.

    Design strategy, systems, processes, guidelines, rules and standards that improve transition processes, reduce barriers to transitions from long-term care facilities, and support successful transitions.

    Keen ability to lead high performing management team, with an ability to partner with a dynamic leadership team.

    Stay abreast of all regulatory issues and changes that affect the company policy or including accreditation standards.

    Maintain current business relationships allowing for continued new growth, meeting company goals as planned.


    Quality Assurance Nurse Manager RN Requirements and Qualifications:

    Registered Nurse (RN) with a Missouri license

    Long-term care experience serving Medicaid population and/or individuals with disabilities.

    At least one year of experience in Quality Assurance for Health Risk Assessments

    Proficient in Microsoft Office – Outlook, MS Office-Word, Excel

    Must maintain and meet HIPAA standards.

    Ability to work in a fast-paced environment while remaining calm and professional.

    Strong customer service orientation

    Excellent organizational skills and must be detailed oriented.

    Strong computer and typing skills.

    Outstanding listening skills

    Positive, friendly, approachable disposition


    Why work with us?

    • $8000 RN Retention Bonus
    • Competitive Salary
    • Medical, Dental, and Vision Insurance
    • 401k Eligibility
    • Paid Time Off
    • Generous Referral bonus program
    • Tuition Assistance as you further your career
    • $1000 Referral Bonus program
  • 24 Days Ago

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Quality Assurance Nurse Manager RN Evenings
  • Reach LTC
  • Cedar, MO FULL_TIME
  • Quality Assurance Nurse Manager RN (QA Nurse Manager – RN) Skills and Characteristics: Many skills and personality traits help to ensure that an individual accomplishes all goals as a Quality Assuranc...
  • 9 Days Ago

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Quality Assurance Nurse Manager RN Evenings
  • Reach LTC
  • Cedar, MO FULL_TIME
  • Quality Assurance Nurse Manager RN (QA Nurse Manager – RN) Skills and Characteristics: Many skills and personality traits help to ensure that an individual accomplishes all goals as a Quality Assuranc...
  • 1 Month Ago

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Quality Assurance
  • Gates Corporation
  • Columbia, MO FULL_TIME
  • Are you inspired by challenging the status quo? Do you thrive in collaborative environments that drive results? If so, Gates could be for you. Gates is a leading manufacturer of application-specific f...
  • 10 Days Ago

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Licensed Life Insurance Sales Agent
  • Assurance
  • Missouri, MO FULL_TIME
  • Build your career in Life Insurance while helping people improve their lives and protect their financial futures. Assurance IQ, a Prudential company, is looking for experienced Life Insurance agents t...
  • 1 Day Ago

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Licensed Life Insurance Sales Agent
  • Assurance
  • Louisiana, MO FULL_TIME
  • Build your career in Life Insurance while helping people improve their lives and protect their financial futures. Assurance IQ, a Prudential company, is looking for experienced Life Insurance agents t...
  • 1 Day Ago

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Quality Assurance Nurse
  • Sierra Health Care, Inc.
  • Las Cruces, NM
  • Sierra Health Care, Inc. is currently seeking a detail-oriented and experienced Quality Assurance Nurse to join our team...
  • 3/29/2024 12:00:00 AM

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Licensed Vocational Nurse LVN
  • Active Hospice Care Inc
  • Burbank, CA
  • Job Description Job Description FULL TIME QUALITY ASSURANCE NURSE (LVN) Overview Active Hospice Care is proudly serving ...
  • 3/28/2024 12:00:00 AM

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Quality Coordinator
  • Addiction Recovery Care
  • Bardstown, KY
  • Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 202...
  • 3/28/2024 12:00:00 AM

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Quality Coordinator
  • Addiction Recovery Care
  • Louisa, KY
  • Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 202...
  • 3/28/2024 12:00:00 AM

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Floating Director of Nursing
  • Freedom Staffing Services
  • Candler, NC
  • Purpose: To assure quality nursing care for patients by directing, coordinating and supervising all nursing personnel. T...
  • 3/28/2024 12:00:00 AM

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Quality Assurance Manager (LPN/RN)
  • Lakeview Rehabilitation & Nursing Center
  • Chicago, IL
  • Lakeview Rehabilitation & Nursing Center - Lakeview Rehabilitation & Nursing Center is seeking a Full-Time Quality Assur...
  • 3/27/2024 12:00:00 AM

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SUPPORT NURSE (LPN) - LOUISBURG HEALTH & REHAB CENTER
  • Liberty Health
  • Louisburg, NC
  • Liberty Cares With Compassion At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding...
  • 3/27/2024 12:00:00 AM

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Quality Assurance Nurse RN
  • PruittHealth
  • Charlotte Hall, MD
  • JOB PURPOSE:Responsible for conducting quality assurance clinical system reviews. Recommends resources in an efficient a...
  • 3/26/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Nurse, Sr. jobs
$91,453 to $107,725