Live opening · Posted 1 day ago

OQRI Auditor, Registered Nurse

Insurance Department of the State of Georgia · Atlanta
Workday
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At a glance

The key details from the original listing.

Posted 1 day ago
CompanyInsurance Department of the State of Georgia
LocationAtlanta
SourceWorkday
Listed1 day ago

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About the role

Description supplied by the original job listing.

Explore a World of Opportunity with the State of Georgia!
We are the force that drives Georgia!
Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens!
Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career!
Job Title:
OQRI Auditor, Registered Nurse
Agency:
Department of Behavioral Health and Developmental Disabilities
Job Requisition ID:
JR0000003500
Shift:
Not Applicable (United States of America)
Compensation Details:
BASED ON EDUCATION AND EXPERIENCE
Job Description:
Job Title: OQRI Auditor, Registered Nurse
Remote
Travel: 30-40% statewide with some overnights
Job Summary:
•Conducts on-site reviews, audits or surveys of clinical and treatment facilities, regulated entity operations and program management for the hospital system
•Coordinates quality assurance functions, including chart reviews and audits
•Determines compliance with applicable TJC, CMS, and state and/or federal rules and regulations
•Monitors, tracks, and maintains records on compliance
•Plans and evaluates outcome studies and/or compliance findings
•Plans, develops, schedules, and implements mock surveys and complaint investigations to ensure compliance with regulatory agencies
•Recommends programmatic and/or operational changes based on review, audit, or survey results
•Researches DBHDD Policies, TJC Standards, CMS Regulations and state/federal regulations
•Performs surveys and audits according to established policies and regulations
•Position requires up to 30% travel within state hospital system
•Actively Participate in assigned Hospital System Meetings
•Other duties as assigned
Preferred Qualifications
Registered Nurse
• Experience in mental health (inpatient or outpatient care; AMH or Forensics)
• Knowledge of Treatment Planning in mental health
• Knowledge of TJC (HAP, NCC, BHC) accreditation requirements and CMS certification standards
• Good communication (verbal and written) and interpersonal skills
• Knowledge and experience in conducting Tracer Methodology Experience in Microsoft Office programs
• Experience with Microsoft SharePoint
For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/
Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.
The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:
Drug Screening
TB Evaluation
Annual Influenza*
*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.
This position is subject to close at any time once a satisfactory applicant pool has been identified.
FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.
Minimum Qualifications:
High school diploma/GED and three (3) years of job-related experience; or two (2) years of experience required at the lower level Complnc Specialist 1 (RCP060) or position equivalent. --Note: Some positions may require a certification or licensure.--Note: Some positions may require a valid driver's license.
Equal Employment Opportunity Employer
The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.

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