Quality Improvement Reviewer

Quality Improvement Reviewer

Company: CareStar, Inc.
Location: Remote
Job Type: Full Time | Remote with Field Visits
Industry: Healthcare / Social Services / Case Management

About the Opportunity at CareStar

Founded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a QI Reviewer to join our Quality Improvement Department. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a QI Reviewer, you’ll be responsible for chart reviews/audit completion across all programs at CareStar using a standardized, program-specific set of interpretive guidelines to ensure inter-rater reliability.

Key Responsibilities

• Adheres to the CareStar Rule in performance of job responsibilities.

• Understands and complies with CareStar Policies and Procedures.

• Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.

• Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

• Completes an average of 30-40 audits per week using program-specific reviewer guidelines to ensure inter-rater reliability.

• Reports findings promptly to the appropriate Supervisor. • Coordinates and communicates with the Clinical Teams in all programs.

• Participates in Root Cause Analysis and brings forward to the QI Supervisor any trends/patterns which have been identified during the chart review/audit process.

• Participates in QI projects and Improvement initiatives, as needed.

• Is available to serve on work groups, community groups, committees, or other task forces and attends meetings as requested.

• Performs other projects and duties as assigned.

Minimum Qualifications

• Minimum of 3 years in clinical, operations or quality improvement required.

• Minimum of 3 years in healthcare delivery required.

• Bachelor’s Degree in Nursing, Social Services or related field.

• Certification/licensure in a health-related field (e.g., LPN, RN, or LSW) preferred. • Excellent organizational, analytical, and interpersonal skills.

• Detail-oriented with the ability to manage time and prioritize projects.

• Effective oral and written communication skills with attention to detail.

• Familiarity with suite of Microsoft Office programs.

• Valid driver’s license and car insurance as required by State law.

Why Join CareStar?

• Competitive salary based on experience and education

• Comprehensive benefits: Medical, dental, vision, life insurance

• 401(k) with a generous company match

• Paid time off + 10 paid holidays

• Employee Stock Ownership Plan (ESOP) – become a part-owner in the company

• Supportive, mission-driven culture focused on improving lives

Apply Today

Ready to make a difference? Visit https://www.carestar.com/about-carestar/careers/ to apply and learn more about joining our team.