Quality Assurance Registered Nurse (RN) - Home Health

Sequoia Home Health

20h • Remote

About The Position

Sequoia Home Health, a proud member of the Pennant Group network, delivers life-changing service to patients and families throughout the Bay Area. They combine the strength of a national healthcare organization with the flexibility and heart of a locally operated team, guided by Core Values: Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership. Sequoia Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse – RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role is responsible for reviewing and ensuring the accuracy, completeness, and consistency of OASIS assessments and ICD‑10 coding, while collaborating closely with clinical and leadership teams to improve outcomes and agency performance. This position is ideal for a detail‑oriented Home Health RN with strong knowledge of OASIS, Medicare regulations, quality assurance, and clinical documentation review. At Sequoia Home Health, their role is to be the emotional, psychological, and clinical companion to all patients and their caregivers, focusing on facilitating a smooth and safe transition back to clients’ homes and improving quality of life by helping them get back to doing what they love.

Requirements

• Registered Nurse (RN) with an active California license
• 2+ years of home health nursing experience required
• Strong working knowledge of OASIS and ICD‑10 home health coding
• In‑depth understanding of CMS regulations, Medicare Conditions of Participation (CoPs), and state licensure requirements
• Strong analytical skills with attention to detail and excellent clinical judgment
• Effective communication and collaboration skills with interdisciplinary teams

Nice To Haves

• OASIS‑E preferred

Responsibilities

• Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations and Sequoia Home Health standards
• Analyze OASIS variation and alert reports to identify documentation gaps and trends
• Ensure correct ICD‑10 coding and sequencing, including primary diagnoses and co‑morbidities
• Collaborate with home health clinicians to clarify documentation issues and support appropriate corrections
• Review visit utilization to ensure services align with patient condition, care guidelines, and reimbursement requirements
• Identify potential underutilization, overutilization, or financial risk and report findings to Clinical Supervisor or designee
• Communicate problematic trends in OASIS data, outcomes, and processes to leadership
• Participate in Quality Improvement (QI), performance improvement, and Corporate Compliance activities
• Assist with additional chart audits and clinical documentation reviews as needed

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees