Quality Assurance Registered Nurse (RN) - Home Health

Quality Assurance Registered Nurse (RN) - Home Health
Location: Remote
Job Type: Full Time

Job Summary

Sequoia Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse 6 RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role is responsible for reviewing and ensuring the accuracy, completeness, and consistency of OASIS assessments and ICD
910 coding, while collaborating closely with clinical and leadership teams to improve outcomes and agency performance.

This position is ideal for a detail 6oriented Home Health RN with strong knowledge of OASIS, Medicare regulations, quality assurance, and clinical documentation review.

Key Responsibilities

• Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations and Sequoia Home Health standards

• Analyze OASIS variation and alert reports to identify documentation gaps and trends

• Ensure correct ICD
  910 coding and sequencing, including primary diagnoses and co 6morbidities

• 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

Qualifications & Requirements

• Registered Nurse (RN) with an active California license

• 2+ years of home health nursing experience required

• Strong working knowledge of OASIS (OASIS 6E preferred) and ICD
  910 home health coding

• In 6depth 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