RN Quality Reviewer - Home & Community Care

Job Description

Description

PeaceHealth is seeking a RN Quality Reviewer - Home & Community Care for a Full Time, Day position.  Hourly compensation starts at $36.99, more depending on experience.

JOB SUMMARY

Responsible for the quality review of all OASIS admission documents and Plan of Care to ensure CMS program compliance is met. Works closely with the System Director of Clinical Home & Community along with Home Health leadership to promote regulatory compliance and excellent patient outcomes and reimbursement. Serves as a consultant, auditor and Oasis expert to Home Health staff across the PeaceHealth system.

ESSENTIAL FUNCTIONS

• Ensures the timely review and processing of Home Health OASIS admission document and Plan of Care.
• Serves as stakeholder in determining appropriate OASIS scoring for correct home health reimbursement.
• Collaborates with leadership to audit and analyze performance trends in OASIS accuracy; assist in determining learning needs for clinical staff.
• Educates and provides feedback to clinical staff regarding correct completion on OASIS admissions document.
• Ensures the review of OASIS data items and ensures OASIS based process measures and OASIS based outcome measures to positively impact Home Health Five Star score.
• Ensures regulatory compliance with OASIS conventions and Plans of Care components.
• Ensures timely processing of OASIS to meet CMS guidelines and CMS billing requirements.
• Promotes evidence-based practice care and documentation of skilled care.
• Reviews all assigned OASIS tasks on a daily basis.
• Provides clinical and quality leadership and oversite for LPN OASIS reviewers.
• Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

• Must be a Registered Nurse in Alaska, Washington, & Oregon.

EXPERIENCE/TRAINING:

• Minimum 2 years’ experience in Home Health
• Experience with EPIC EMR system preferred

LICENSE/CERTIFICATION:

• OASIS Certified Preferred.
• Must complete OASIS Certification within 1 year of starting.

OTHER SKILLS:

• Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.
• Strong analytical skills.
• Previous training experience and curriculum design a plus.
• Must possess excellent ability for conceptual thinking, good listening, problem resolution and planning skills.
• Must possess excellent organizational skills.
• Ability to work with basic office equipment.
• Ability to work well independently and in a remote environment.

REGIONAL/LOCATION SPECIFIC NOTES:

• Travel may be required.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application.  EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.