QA Registered Nurse (RN)
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AI Summary
QA Registered Nurse (RN) – Hospice
Coverage Area: Remote
Pay: $85,000-90,000 annually
Job Type: Full-Time
The Sequoia Difference
At Sequoia Hospice, we’re passionate about delivering exceptional, individualized care. Our mission is to provide life-changing service with dignity and compassion, helping patients and families navigate a smooth transition home.
JOB SUMMARY
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.
DUTIES & RESPONSIBILITIES
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and Seaport Scripps Home Health.
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 Seaport Scripps Home Health.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee.
Notifies Seaport Scripps Home Health 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.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
JOB 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.
Why Join Sequoia?
Competitive pay rates.
Supportive, mission-driven team culture.
Mileage reimbursement and mobile documentation tools.
Opportunities for growth and learning.
Freedom to innovate and serve your community.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
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