Job description
About the New York Independent Assessor Program (NYIA):
About the Position
We are hiring for Quality Assurance Specialists! As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program. The Department is composed of small teams of QA Nurse Specialists, each led by a supportive Supervisor. Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors. We're looking for team members with great attention to detail and strong communication skills. If this sounds like you, we're looking forward to meeting you!
Education and Experience Requirements:
Position Responsibilities:
- Conduct standardized review/audit of Community Health Assessments (CHA) that are conducted by the Nurse Assessors.
- Review findings/audit and provide feedback in a collaborative manner to promote quality improvement of the CHA process
- Collect data related to assessments and assessment outcomes
- Examine cases at random for completeness, accuracy and consistency
- Examines data for outliers and researches such cases
- Conducting ad hoc reviews of submissions by Health Plans and the Local Department of Social Services that are clinical in nature
- Analyze UAS recommended scores in relation to Nurse Assessor determinations
- Attend Fair Hearing cases and prepare case packets, as required. This may require travel if the Fair Hearings are resumed in person
- Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position
- Performs other duties as may be assigned by Management
Minimum Requirements:
- RN license in the state of New York
- 2+ years RN experience in-home care, medical, surgical, geriatric, LTC and/or ambulatory care
- Prior experience using the UAS-NY Community assessment tool, OASIS or MDS
- Strong technological skills
- Strong analytical skills
- Detail and solution oriented
- Ability to work independently
- Excellent written and oral communication and presentation skills
- Ability to use spreadsheet or database software
- Preferred 2+ years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews
Home Office Requirements:
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
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MAXIMUS Introduction:
As a large employer and Federal contractor, Maximus is subject to various vaccine mandates across our lines of business. Maximus is committed to complying with any applicable vaccine mandates. The specific vaccine requirements for this position will be outlined throughout the selection process. Individuals who believe they may qualify for a medical or religious accommodation will have the opportunity to apply for an accommodation following an offer of employment.
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