Quality Assurance Registered Nurse, Home Health
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Job Description
OASIS Review Nurse ensuring clinical quality and documentation integrity at Sequoia Home Health. Collaborating with teams and reviewing OASIS assessments to improve outcomes and agency performance.
Responsibilities:
- Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations
- 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
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)
- 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
Benefits:
- Health insurance
- Flexible work arrangements
- Professional development
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