Job summary
Job post source
This job is directly from VNS Health
Job overview
The Quality Reviewer/Auditor role at VNS Health involves managing quality improvement activities and initiatives to enhance patient care and organizational performance within the health plans.
Responsibilities and impact
The role includes developing and implementing quality improvement standards, analyzing performance data, conducting audits, facilitating compliance with regulatory requirements, coaching teams on quality metrics, and participating in quality projects and investigations related to patient care and outcomes.
Compensation and benefits
The position offers a salary range of $93,400 to $116,800 per year, health insurance including medical, dental, vision, life disability, employer-matched retirement funds, generous paid time off starting at 30 days, referral bonuses, tuition reimbursement, and wellness programs.
Experience and skills
Candidates must have a registered nurse license preferably in New York or New Jersey, a bachelor's degree or equivalent experience, at least four years of clinical experience including two years in quality improvement, knowledge of healthcare delivery and statistical analysis, and strong communication skills; knowledge of performance improvement tools is preferred.
Career development
The job provides opportunities for professional growth, career advancement, internal mobility, tuition reimbursement, and continuing education credits.
Work environment and culture
VNS Health values compassionate care, innovation, and community connection, supporting a collaborative environment focused on improving health outcomes and patient satisfaction.
Company information
VNS Health is a large nonprofit home and community-based healthcare organization with over 130 years of history, serving more than 43,000 patients daily with a broad range of healthcare services and health plans primarily in New York.
Job location and travel
The job is based in New York with potential regional operational needs requiring a valid driver's license or state ID; work environment details are not specified.
Unique job features
The role uniquely integrates quality improvement with compliance, regulatory standards, and includes involvement in diverse quality projects such as NCQA HEDIS and CMS Quality Projects, along with specialized roles for RN Quality Reviewer and RN Coder.
Company overview
VNS Health, formerly known as the Visiting Nurse Service of New York, is a prominent nonprofit organization that provides comprehensive home and community-based healthcare services. They generate revenue through a combination of government funding, private insurance reimbursements, and patient fees. Established in 1893, VNS Health has a long history of delivering high-quality care, including nursing, rehabilitation, and hospice services, primarily to vulnerable populations. Their mission focuses on improving the health and well-being of individuals through compassionate and innovative healthcare solutions.
How to land this job
Position your resume to highlight your experience in quality improvement activities, focusing on your ability to implement and evaluate strategies using frameworks like Plan, Do, Study, Act, as emphasized by VNS Health.
Emphasize your skills in data analysis, quality measurement, and collaboration with clinical and operations teams to drive compliance with CMS and regulatory requirements, reflecting the job's core responsibilities.
Apply through multiple channels such as the VNS Health corporate careers site and LinkedIn to maximize your application visibility for the Quality Reviewer/Auditor role.
Connect on LinkedIn with professionals in the quality improvement or clinical management divisions at VNS Health. Use ice breakers such as commenting on recent quality initiatives by VNS Health or asking about how they integrate CMS Triple Aim goals into their daily work.
Optimize your resume for ATS by incorporating keywords from the job description like 'quality improvement,' 'CMS Triple Aim,' 'Plan Do Study Act,' 'data analysis,' 'compliance,' and 'performance measurement' to ensure it passes automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application channels, and find LinkedIn contacts to network with, allowing you to focus your time on preparing for interviews and skill enhancement.
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