Quality Assurance Registered Nurse (RN) - Home Health
About The Position
Seaport Scripps 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.
Requirements
- Registered Nurse (RN) with an active California license
- 2+ years of home health nursing experience required
- Strong working knowledge of OASIS (OASIS‑E preferred) 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
Responsibilities
- Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations and Seaport Scripps 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
