Quality Assurance Rn_ltc

Centene

Remote, United States
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
**
Active ny rn license required
Uas assessment audit experience preferred
Review clinical documentation accuracy
** Centene is seeking a Clinical Quality Assurance RN to conduct audits and monitor staff in the Long Term Care Department, ensuring compliance with regulatory standards. The position requires a valid NY RN license and offers a flexible remote work environment, with a salary range of $70,100 to $126,200 annually. **

Job Summary

  • The Clinical Quality Assurance RN will review, monitor, and train staff to ensure adherence to Fidelis Care policies and regulatory standards.
  • This role requires conducting audits of UAS assessments and related documentation while maintaining data integrity for state and federal agencies.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and flexible remote work schedules.

Matching Summary

Match Score: 75

** Centene is seeking a Clinical Quality Assurance RN to conduct audits and monitor staff in the Long Term Care Department, ensuring compliance with regulatory standards. The position requires a valid NY RN license and offers a flexible remote work environment, with a salary range of $70,100 to $126,200 annually. **

Salary

Base: $70,100.00 - $126,200.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Active NY RN License required
  • UAS assessment audit experience preferred
  • Review clinical documentation accuracy
  • Monitor timeliness of care management records
  • Train and retrain staff on best practices

Nice-to-have

  • Experience in managed long-term care plans
  • Proficiency with Microsoft Excel PivotTables
  • Bilingual language skills in Spanish or Russian
  • Knowledge of ICD-10 codes and medical abbreviations
  • Ability to work remotely from home

Key Requirements

  • Active New York RN License
  • Bachelor's Degree or equivalent experience
  • State registration with Uniform Assessment System (UAS)
  • Experience in Long Term Care or Managed Care
  • Knowledge of CMS and DOH regulations

Work Rights

Must have NY RN license; US residency implied for remote work

Tailored Resume

Cover Letter