Quality Assurance Specialist (RN) - Home Health

Seaport Home Health Care Services • San Diego, CA

3d • $45 - $55

About The Position

The OASIS Review Nurse is a professional, registered nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes. This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.

Requirements

• Registered nurse with current license to practice professional nursing in CA.
• Bachelor’s degree required
• 2-5 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 the agency.
• 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 the agency.
• Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
• Notifies the agency 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.
• Other quality improvement tasks as needed

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level