QA Registered Nurse, RN
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Job Description
OASIS Review Nurse responsible for analyzing OASIS documentation and data integrity at Sequoia Hospice. Collaborating with clinical staff to ensure compliance and appropriateness of assessments for home health care.
Responsibilities:
- Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations.
- 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.
- Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
- Notifies leadership team of problematic trends as a result of OASIS review.
- Participates in Quality Improvement and Corporate Compliance activities as assigned.
Requirements:
- Registered nurse with current license to practice professional nursing in the state.
- Bachelor’s degree required
- 2-5 years of clinical home health experience required.
- Working knowledge of OASIS and ICD-10 coding.
- OASIS certification (COS-C) preferred; OASIS Home health ICD-10 coding certification preferred.
- Knowledge of federal regulations and state licensure requirements.
Benefits:
- Competitive pay rates.
- Mileage reimbursement and mobile documentation tools.
- Opportunities for growth and learning.
- Freedom to innovate and serve your community.
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