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

Muir Home Health

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