Clinical Review & Quality Assurance RN

The role of the Clinical Review and Quality Assurance RN involves conducting thorough reviews of patient records, working collaboratively with clinical staff to address discrepancies, and ensuring compliance with regulatory standards. This position requires strong data analysis skills to identify trends, as well as a commitment to fostering a culture of accountability and continuous learning within the organization. The RN will play a key role in participating in quality initiatives to enhance patient safety and healthcare outcomes.

Location: Seven Lakes Pharmacy 3650 Victoria St N Shoreview, MN 55126-2906

Schedule: 0.8FTE ~8:00AM-4:00PM or 9:00AM-5:00PM. There is flexibility with these hours - Weekends would be limited and as needed.

Responsibilities

• Review all initial clinical assessments and reassessments for qualitative and quantitative content of the medical record, completeness, and compliance with quality of care standards—as related to federal, state regulations, and organizational policies.
• Collaborate with clinical staff to address data integrity issues, consulting with clinicians as needed and ensuring corrections align with organizational policies.
• Analyze clinical data to identify trends and offer recommendations to improve performance.
• Stay informed about healthcare regulations, accreditation requirements, and industry standards.
• Ensures appropriate ICD-10 coding and sequencing as it relates to the client’s medical condition, including any co-morbidities.
• Assists with other chart audit activities as assigned.
• Participate in annual competency activities, to include annual co-visits in the field
• Foster a culture of accountability, collaboration, and continuous learning within the healthcare organization.

Required Qualifications

• Degree in Nursing RN
• 3 years of Nursing Experience
• 2 years Home Infusion or Home Care experience
• Current MN Nursing License
• Basic Life Support (American Heart Assoc or Red Cross)
• Drivers License
• Current and adequate automobile insurance policy

Preferred Qualifications

• BSN
• EPIC
• CRNI or OCN

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

Salary : $93,392 - $134,909