QA Nurse Specialist

Employment Type

: Full-Time


: Healthcare - Nursing

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Since 1975, MAXIMUS has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. MAXIMUS delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, MAXIMUS is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit Required Education: Bachelors Degree in Nursing from an accredited college or university Required Licensure: Current RN licensure in New York State Required Experience: 2 years RN experience Preferred Experience: 2 years previous work experience in Quality and Risk Management in a hospital setting conducting peer reviews; Work experience with the UAS-CANS-NY. Work experience providing QA training. Required Skills: Ability to review health status questions and make evaluations and determinations based on the UAS-CANS-NY system criteria for enrollment; ability to work with technology in the workplace including proficiency with Microsoft Office products; knowledge of the theory, principles, and practices of general professional nursing; knowledge of state and agency laws and regulations governing general professional nursing practices; excellent organizational, interpersonal, written, and verbal communication skills; ability to communicate and work effectively with multi-generational consumers; ability to demonstrate sensitivity to the concerns of others; ability to perform comfortably in a fast-paced, deadline-oriented work environment; ability to successfully execute many complex tasks simultaneously; and a strong ability to work independently; ability to provide effective training in group or 1:1 settings Bilingual: Bilingual ability in Spanish, Russian, Haitian-Creole, Chinese may be preferred Other:Travel required; NY State Drivers license required JOB RESPONSIBILITIES 1. Develop and teach training modules for C-YES educational activities including Nurse Evaluator Orientation and ongoing C-YES In-Services 2. Implement enhancements to the C-YES orientation and educational activities based on updates provided by HCS/CANS and C-YES QA data 3. Collect data related to assessments and assessment outcomes 4. Examine cases at random for completeness, accuracy and consistency 5. Examines data for outliers and researches such cases 6. Develops / completes reports that track and trend activities / outcomes 7. Analyze CANS recommended scores in relation to Nurse Evaluator determinations 8. Acts as an advisor to staff on all QA and Compliance issues related to the C-YES 9. Attend Fair Hearing cases and prepare case packets, as required 10. Participates in the development of project goals and objectives, and monitoring achievement of those goals 11. Collaborate with the Manager QA and Training to develop an effective quality monitoring program 12. Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position 13. Performs other duties as may be assigned by the Manager QA and Training Bachelor's degree with 3 years of experience. May have additional training or education in area of specialization. Develops solutions to a variety of problems of moderate scope & complexity. General application of concepts & principles. Contributes to the completion of organizational projects & goals. Frequent use and general knowledge of industry practices, techniques, and standards. Applies knowledge and skills to complete a wide range of tasks. Communicates on complex or sensitive issues or drafts such responses for supervisor or manager. EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. Were proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.
Associated topics: adult nurse practioner, advanced, anesthetist, anesthetist crna, cardiology, certified nursing assistant, cna, nursing assistant cna, prn, splst

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