Quality Assurance Nurse

At Muir Home Health, we believe that home healthcare is more than just a service – it’s a commitment to enhancing the quality of life of every individual we serve.  Nestled in the heart of the vibrant East Bay area of California, we are on a mission to revolutionize the way home health is perceived and delivered.

Muir Home Health is growing and looking for an experienced and compassionate Quality Assurance Registered Nurse (QA RN) to join our team! As a QA RN with Muir Home Health, you will have the opportunity to advance your career while receiving strong compensation and excellent benefits.

BENEFITS

• Competitive compensation
• Health, dental, vision, life, and disability insurance
• 401(k) plan with generous company match
• Critical illness benefit
• Paid time off
• Employee assistance program

Pay Range: $75,00 - $87,500

JOB SUMMARY

The Quality Assurance Registered Nurse acts as the OASIS review nurse. This person 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 AND RESPSONSIBILITY

• 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.

JOB REQUIREMENTS

• Active CA Registered Nurse License
• Bachelor’s degree required
• 2+ 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 MUIR HOME HEALTH?

Muir Home Health is part of the Cornerstone Group with about 75 home health and hospice agencies throughout the country. While we are part of a large family, we operate as a local team. We understand we are nothing without great employees! It is through our team’s dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. Join a culture of high performers who are on a mission to create the best Home Health agency in the East Bay!

What makes us unique? At Muir Home Health, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We operate with the Core Values of CAPLICO in mind:

• Celebration
• Accountability
• Passion for Learning
• Love One Another
• Intelligent Risk Taking
• Customer Second
• Ownership

We’d love to meet with you if you are passionate about giving exceptional patient care and creating the best Home Health agency in the East Bay!

Muir Home Health is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.