Clinical Quality Specialist

What you'll do

You're the person who owns the clinical documentation for High Nursing Facility Level (HNF) requirements. That means you review charts, assessments, and care plans to make sure everything lines up with state guidelines and each resident's actual level of care. You're not just checking boxes ; you're ensuring accuracy for reimbursement, regulatory compliance, and quality resident care.

You'll work closely with nursing staff, therapy, social services, the business office, and providers to gather what's needed. When a resident's condition changes, you update the documentation accordingly. You audit charts for missing or inconsistent info and follow up with the people who need to fix it. You also educate staff on proper documentation practices tied to HNF requirements. And yes ; you'll communicate directly with Managed Care Organizations to challenge acuity levels when state regulations support it.

• Complete, update, and verify all HNF clinical documentation
• Review charts against individual level of care criteria
• Ensure forms are accurate, timely, and compliant with state and facility standards
• Collaborate across departments to collect necessary information
• Monitor changes in condition and adjust documentation right away
• Audit for missing or conflicting information; follow up directly
• Train staff on proper documentation practices
• Negotiate appropriate acuity levels with Managed Care Organizations per state regs

What you need

You need a current RN license from the State Board of Nursing and graduation from an accredited nursing school, college, or university. At minimum three years of full time (or equivalent) clinical experience is required ; this isn't negotiable. Two years of that should be in long term care nursing ideally.

A BSN is preferred but not required. And if you have one year in a management, administrative, or supervisory role within long term care? Even better.

• Current RN licensure by the State Board of Nursing
• Graduate of an accredited school of nursing (college or university)
• Minimum three years full time clinical experience
• Minimum two years long term care clinical experience preferred
• One year in management/administrative/supervisory capacity preferred
• BSN preferred but not required here either ; pending your background works too.

Certs you'll keep current

BLS/CPR certification must be maintained along your RN license at all times; no exceptions here so plan accordingly before starting out there in Albuquerque, NM. / Prevents 'work' or other accidental wraps / del { word break: break word; white space: normal ; } b { margin inline end:auto;} details summary::-webkit details marker { display:none!important; } details{ cursor:default;} summary{ outline:none;} .onward{ margin left:-4em; } .dedot ul, .no before li { list style:none !important; }>>:.current training/table=rows-&-no digits;{BLS/CPR is separate from driver abstract regislation}. Meanwhile carry usual ambulance no code renewal coinciding + $RN payment . /span?blockEnd(remove?). /center fail save gone/force break vs unwantable rule. Prefer rewriting block properly: Unordered -->
• $Current BLS / CPR certification Current active Registered Nurse license as well Let me know if desired further cleaning elsewhere due deepstack etc . Without missing your intent back onsite~ Well then just direct : A current BLS/CPR certification is mandatory alongside maintaining your valid RN license through Board of Nursing checks within locale . Renewals happen as scheduled .