Clinical Quality Review Nurse

1 week ago


Springfield, Illinois, United States Taylorville Memorial Hospital Full time
Job Summary

We are seeking a skilled Clinical Quality Review Nurse to join our team at Taylorville Memorial Hospital. This role is responsible for conducting individual patient case reviews to ensure accurate documentation and provide clinical expertise.

About the Role
  • Collaborate with a multidisciplinary team to establish a Plan of Care that delivers high-quality, efficient, and cost-effective patient care.
  • Participate in quality improvement initiatives, monitoring performance indicators and adjusting target areas as needed.
  • Audit medical records for accuracy and completeness, referring to clinical staff for correction and advising supervisors of potential issues.
Responsibilities
  1. Conduct thorough patient case reviews to identify risk factors and clinical inconsistencies within documentation.
  2. Coordinate with the billing department to ensure timely claims submission and processing.
  3. Assist in training field staff and serving as an educational resource on Oasis data and documentation best practices.
  4. Integrate evidence-based practice into Careplans and clinical decision-making.
Requirements
  • Bachelor of Science in Nursing (BSN) preferred.
  • Licensed to practice professional nursing in Illinois.
  • Two years of clinical experience in acute care settings and one year of home health experience.
What We Offer
  • An estimated salary range of $75,000 - $95,000 per annum.
  • A comprehensive benefits package.
  • The opportunity to work with a dedicated team and contribute to quality patient care.


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