Clinical Reviewer (RN, PT, OT), Day Shift, Home Health

Adventist HealthCare

4d•$35 - $52•Remote

About The Position

Adventist HealthCare seeks a Clinical Reviewer (RN, PT, or OT) to support its mission of extending care through physical, mental, and spiritual healing. The position oversees clinical staff and reviews coding, care plan effectiveness, and patient care provision. The reviewer examines clinical documentation for completeness and accuracy, supports accurate OASIS submissions and quality reporting, and helps improve documentation through education and feedback. This is a remote, variable part-time position with a day shift schedule, primarily providing coverage as needed for PTO.

Requirements

Bachelor’s degree in physical therapy, occupational therapy, or a related area.
Associate degree in nursing.
Two years of clinical experience.
Current license as an RN, PT, or OT.
Must already be certified in OASIS and coding, with prior experience.

Nice To Haves

Experience in a home health environment.
Experience conducting research trials.
OASIS certification is recommended.
Coding certification is recommended.

Responsibilities

Direct clinical staff through oversight and management of coding, care plan effectiveness, and patient care provision.
Obtain verbal orders for additional services or delays in services when needed.
Examine documentation to ensure clinical information is complete and accurate.
Complete initial medical record reviews within 24 hours of the start-of-care assessment to support accurate OASIS submissions, using Strategic Healthcare Programs (SHP) to assess and monitor OASIS accuracy.
Develop and implement education initiatives to improve documentation for quality reporting based on trends identified during record reviews.
Remain current with ICD-10 coding changes, OASIS guidelines, CMS changes, and other agency directives.
Support the completeness and accuracy of clinical information and quality data used in profiling and reporting.
Identify issues requiring clarification or additional information in clinical documentation and communicate with the appropriate care provider using established processes.
Orient new clinical staff and provide education and feedback about documentation content, timeliness, and critical-thinking skills; share information with clinical leadership as appropriate.
Participate in weekly interdisciplinary case conferences and problem case conferences with team members, as requested.