Responsibilities:
- Provides on-going guidance to nurses.
- Reviews active participants clinical records in accordance with Federal, State, and other regulatory agency requirements.
- Reviews charts in order to maintain optimum level care.
- Identifies quality improvement opportunities and assets in resolving those participant care issues that have been repeated or patterned.
- Maintains current knowledge of New York States Department of Health CMS PACE regulations including program discipline when needed.
- Conducts audits of participant clinical records on an ongoing basis to ensure compliance with agency policiesand PACE regulations. Collect all audit findings and make sure that corrections are completed.
- Review all enrollment packets before submission for HRA approval.
- Review all initial nursing assessments.
Qualifications:
- Current NY State Registered Nurse License
- 3-5 years of experience as a RN manager/supervisor
Education:
- Associate Degree
- BSN Preferred
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