Optimum RTS - Pre Claim Review QA/QI RN
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Pre Claim Review QA/QI RN

Job Type : Internal Direct
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Home Health
Job Category : Home Health - QA/QI

Job Description :

Our Client is seeking a qualified RN for a Quality Assurance full time role in Boca Raton. The ideal candidate would provide quality home care to all patients while ensuring compliance with all laws, rules, and regulations. To qualify for this position individuals must be passionate about their work and possess superior work ethic and values. This rewarding position is accompanied with a competitive salary and a comprehensive benefit package.

Responsibilities Include:

  • Implementing Continuous Quality Improvement (CQI) program.

  • Assists in Medicare billing.

  • Assist with chart audits

  • Performs Preclaim Audit Reviews

  • Prepare Utilization Review (UR) Reports



To apply, please send resumes to the listed e-mail address for review.
Remember to check out our other job openings, too. Here is a link: http://optimumrts.com/job-openings/ 



Required Qualifications :

  • Qualifications:

    • Graduate of an accredited school of Professional Nursing

    • Active RN license

    • Minimum 2 year of experience in Medicare Home Health Case Management

    • OASIS certification

    • Experience in ICD10 coding

    • 2 Years experience in QA / QI / OBQI

    • Clear criminal history

    • Proficient computer literacy including Word and Excel

    • Must have excellent time management skills to prioritize and organize workload

    • Positive attitude and strong work ethic

    • Excellent communication skills

    Benefits Include :

    • Excellent Pay

    • Medical, Dental, and Vision Benefits

    • Paid Time Off

    • Direct Deposit

     Job Type: Full-time.

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