Quality Review (LVN) : Home Health
About The Position
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy. Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes. Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California. To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/ Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.
Requirements
- Professional, licensed vocational nurse (LVN)
- Experience with OASIS documentation and assessment processes.
- Knowledge of ICD-10 coding and sequencing.
- Familiarity with federal and state regulations and organization policy related to home health.
Responsibilities
- Analyzing data integrity and consistency of OASIS documentation and assessment processes.
- Ensuring appropriate ICD-10 coding and sequencing.
- Working with clinical staff to clarify documentation and data integrity issues.
- Prospectively reviewing all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
- Utilizing OASIS variation or alert reports when reviewing OASIS data.
- Ensuring appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
- Reviewing visit utilization for appropriateness of care guidelines and patient condition.
- Reporting potential financial losses and/or underutilization to the clinical manager/designee.
- Notifying organization leadership of problematic trends as a result of OASIS review.
- Working with managers to address trends that affect the agency’s outcome and process measures noted during OASIS review.
- Making OASIS inter-rater reliability visits with clinical staff.
- Performing other duties as assigned.
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
