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 SUMMARYThe 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
