Nurse Auditor and Quality Assurance for OASIS/POC
About The Position
Canyon Home Health is looking for a detail-oriented, experienced Registered Nurse to join our team as a full-time POC Audit Nurse. This position is an important part of ensuring we provide excellent patient care while maintaining accurate, complete, and compliant documentation. The ideal candidate is someone who naturally notices the details, understands home health documentation requirements, and takes pride in helping the entire clinical team succeed. The POC Audit Nurse will review patient charts and documentation throughout the episode of care to ensure they are accurate, complete, clinically appropriate, and meet applicable CMS, Medicare, insurance, and home health requirements. This position will have a strong focus on reviewing OASIS assessments for accuracy, consistency, and completeness, auditing Plans of Care (POCs) and ensuring they accurately reflect the patient's needs and skilled services being provided, reviewing physician orders and verbal orders for completeness, accuracy, and compliance, and ensuring documentation supports medical necessity, homebound status, skilled need, and the services being provided. The role involves identifying missing, incomplete, inconsistent, or unclear documentation and working with clinicians to correct it, reviewing charts for overall compliance and ensuring documentation tells the complete story of the patient's care, monitoring for potential compliance concerns before they become larger issues, providing ongoing education and feedback to nurses and other clinical team members, helping new and existing team members understand documentation expectations and best practices, working collaboratively with clinicians to improve documentation rather than simply identifying errors, participating in required meetings, audits, quality initiatives, and other clinical activities, contributing to quality assurance and performance improvement (QAPI) initiatives, staying current with applicable home health, CMS, Medicare, and insurance requirements, and helping develop and reinforce standardized documentation practices across the agency.
Requirements
- Registered Nurse
- Detail-oriented
- Organized and able to manage multiple charts and priorities
- Experienced with home health documentation and OASIS
- Knowledgeable about home health regulations and Medicare/CMS requirements
- Comfortable reviewing documentation critically while maintaining a supportive approach
- Strong communicator who can provide constructive feedback
- Willing and excited to teach, train, and mentor others
- Enjoys helping nurses understand the why behind documentation requirements
- Proactive in identifying problems and finding solutions
- Comfortable working independently while also being an active member of the clinical team
- Invested in quality patient care and positive patient outcomes
- Understands that excellent patient care includes having documentation that accurately reflects the care provided and supports the patient's needs
- Willing to help both new and experienced team members grow and improve
- Dependable, professional, and willing to step in wherever needed
Responsibilities
- Reviewing OASIS assessments for accuracy, consistency, and completeness
- Auditing Plans of Care (POCs) and ensuring they accurately reflect the patient's needs and skilled services being provided
- Reviewing physician orders and verbal orders for completeness, accuracy, and compliance
- Ensuring documentation supports medical necessity, homebound status, skilled need, and the services being provided
- Identifying missing, incomplete, inconsistent, or unclear documentation and working with clinicians to correct it
- Reviewing charts for overall compliance and ensuring documentation tells the complete story of the patient's care
- Monitoring for potential compliance concerns before they become larger issues
- Providing ongoing education and feedback to nurses and other clinical team members
- Helping new and existing team members understand documentation expectations and best practices
- Working collaboratively with clinicians to improve documentation rather than simply identifying errors
- Participating in required meetings, audits, quality initiatives, and other clinical activities
- Contributing to quality assurance and performance improvement (QAPI) initiatives
- Staying current with applicable home health, CMS, Medicare, and insurance requirements
- Helping develop and reinforce standardized documentation practices across the agency
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
