Quality Reviewer (CRC)

Reports to: Home Care Director

Duties & Responsibilities:

1. Provides timely review of SOC, ROC and Recertification documentation. Utilizes CRC assessment tool to provide clinical feedback related to OASIS accuracy and POC.

2. Accurately codes chart based on primary and secondary reasons for home care through thorough chart review. Reviews and advances 485 in a timely manner.

3. Demonstrates proficient use of home care information system and decision support software.

4. Oversees utilization of resources for Medicare clients by recommending resources to match patient needs.

5.Provides timely feedback and education to clinical staff regarding OASIS and documentation deficits. Timely notification of manager and assistant manager regarding staff non-compliance. Identifies and reports trends which require staff education.

6. Identifies and reports trends which require staff education.

7. Provides education to clinical staff and intake staff:

Develops and implements educational sessions both individually and in team meetings.

8. Participates in agency’s QAPI program:

Participates in performance improvement projects.

9. Assists with growing agency business:

Cross trains to learn new skills
Accepts other assignments to support agency.

10. Attends continuing education to develop proficiency in OASIS review and ICD-10 coding.

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

Atlantic Health Morristown Medical Center, Morristown, NJ
Atlantic Health Overlook Medical Center, Summit, NJ
Atlantic Health Newton Medical Center, Newton, NJ
Atlantic Health Chilton Medical Center, Pompton Plains, NJ
Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
Atlantic Health Goryeb Children's Hospital, Morristown, NJ
Atlantic Health CentraState Healthcare System, Freehold, NJ
Atlantic Medical Group
Atlantic Visiting Nurse
Atlantic Mobile Health
Atlantic Rehabilitation

We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:

Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For."
Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026.
Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings.
Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.
Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.
Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.

Our Home care and Hospice teams work with more than our patients, we work with their families, inside their homes and in their community. When you join our team, you also join theirs, bringing them your comfort, compassion, education, and expertise. We celebrate these close connections every day, by delivering the best comprehensive home care and hospice services possible.

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
Life & AD&D Insurance.
Short-Term and Long-Term Disability (with options to supplement)
403(b) Retirement Plan: Employer match, additional non-elective contribution
PTO & Paid Sick Leave
Tuition Assistance, Advancement & Academic Advising
Parental, Adoption, Surrogacy Leave
Backup and On-Site Childcare
Well-Being Rewards
Employee Assistance Program (EAP)
Fertility Benefits, Healthy Pregnancy Program
Flexible Spending & Commuter Accounts
Pet, Home & Auto, Identity Theft and Legal Insurance

____________________________________________

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

Atlantic Health System

Quality Reviewer, Full-Time Days, 8a-4p, Atlantic Visiting Nurse

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