Quality Assurance Nurse

Pennant GroupMuir Home Health-MS-Remote, CA
$75,000 - $87,500Onsite

About The Position

At Muir Home Health, we believe that home healthcare is more than just a service – it’s a commitment to enhancing the quality of life of every individual we serve. Nestled in the heart of the vibrant East Bay area of California, we are on a mission to revolutionize the way home health is perceived and delivered. Muir Home Health is growing and looking for an experienced and compassionate Quality Assurance Registered Nurse (QA RN) to join our team! As a QA RN with Muir Home Health, you will have the opportunity to advance your career while receiving strong compensation and excellent benefits.

Requirements

  • Active CA Registered Nurse License
  • Bachelor’s degree required
  • 2+ years of clinical home health experience required
  • Working knowledge of OASIS and ICD-10 coding
  • Knowledge of federal regulations and state licensure requirements

Nice To Haves

  • OASIS certification (COS-C) preferred
  • OASIS Home health ICD-10 coding certification preferred

Responsibilities

  • Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and Seaport Scripps Home Health.
  • Utilizes OASIS variation or alert reports when reviewing OASIS data.
  • Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
  • Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per Seaport Scripps Home Health.
  • Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
  • Notifies Seaport Scripps Home Health leadership team of problematic trends as a result of OASIS review.
  • Works with managers to address trends that affect the agency’s outcome and process measures noted during OASIS/ review.
  • Makes OASIS inter-rater reliability visits with clinical staff.
  • Participates in Quality Improvement and Corporate Compliance activities as assigned.
  • Assists with other chart audit activities as assigned.
  • Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.

Benefits

  • Competitive compensation
  • Health, dental, vision, life, and disability insurance
  • 401(k) plan with generous company match
  • Critical illness benefit
  • Paid time off
  • Employee assistance program
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