NCQA Accreditation Analyst
BlueCross BlueShield of South Carolina
Quality Assurance RN/BSN – Home Health
Duke Careers
full-time
Posted on:
Location Type: Hybrid
Location: Durham • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Responsible for performing professional administrative duties related to auditing, assessing, training and evaluating performance improvement and regulatory compliance activities of Duke HomeCare & Hospice (DHCH)
- Serves as liaison/resource to home care staff related to care/utilization
- Conducts or arranges for educational opportunities for all home care staff related to clinical case management
- Approves plan of care after input from clinical staff
- Coordinates and oversees interdisciplinary Patient Care Conferences for homehealth patients
Requirements
- BSN
- Minimum of 2 years home care experience with at minimum 1 year experience related to performance improvement, quality assurance or regulatory affairs
- Current or compact RN licensure in the state of North Carolina or Compact license from participating compact state
- Oasis experience
- BLS required, but may be renewed during orientation
- Working knowledge of Medicare and Medicaid regulations, JC and DHSR standards, and ICD-10 Coding
- Excellent interpersonal communication and organizational skills required
Benefits
- Competitive salary
- Flexible working hours
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Oasis experienceICD-10 Codingperformance improvementquality assuranceregulatory affairs
Soft skills
interpersonal communicationorganizational skills
Certifications
BSNRN licensureBLS
