Quality Improvement Reviewer

Company: CareStar, Inc.
Location: This position will require frequent travel to meet with program leaders in CareStar's Ohio programs.
Job Type: Full Time
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 Quality Improvement 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 Quality Improvement Reviewer, you’ll work directly with individuals to assess their needs, develop personalized care plans, and connect them with essential services and supports. You’ll be part of a mission-driven team that values your expertise, supports your growth, and empowers you to make a real difference in your community.

Key Responsibilities

• 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.
• 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.

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?

• Remote flexibility with meaningful community engagement
• 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.