Job Description
Position Summary
The Quality Improvement (QI) Nurse is responsible for evaluating and improving clinical documentation, patient outcomes, and compliance with regulatory and payer requirements. This role focuses heavily on conducting chart audits for continuity of care health plan agendas purposes, ensuring accurate and complete patient records, completing required health forms, and coordinating submissions to health plans. The QI Nurse works collaboratively with clinical and administrative teams to promote quality care, enhance documentation practices, and support organizational performance improvement initiatives.
Quality Improvement & Chart Auditing
+ Conduct routine and targeted chart audits to ensure compliance with clinical, regulatory, and payer standards.
+ Review medical records for accuracy, completeness, and appropriate documentation of care and services provided.
+ Identify documentation gaps, inconsistencies, or deficiencie...
The Quality Improvement (QI) Nurse is responsible for evaluating and improving clinical documentation, patient outcomes, and compliance with regulatory and payer requirements. This role focuses heavily on conducting chart audits for continuity of care health plan agendas purposes, ensuring accurate and complete patient records, completing required health forms, and coordinating submissions to health plans. The QI Nurse works collaboratively with clinical and administrative teams to promote quality care, enhance documentation practices, and support organizational performance improvement initiatives.
Quality Improvement & Chart Auditing
+ Conduct routine and targeted chart audits to ensure compliance with clinical, regulatory, and payer standards.
+ Review medical records for accuracy, completeness, and appropriate documentation of care and services provided.
+ Identify documentation gaps, inconsistencies, or deficiencie...