Homeoffice Quality Assurance Registered Nurse bei Summit Home Care & Hospice

Description

Summit Home Care and Hospice is searching for an experienced and motivated Quality Assurance Registered Nurse to join our Home Health & Hospice teams. At Summit, we believe healthcare should be personal, compassionate, and delivered where it matters most—at home.

QA Registered Nurse:

• Hours: Monday – Friday; Standard Business Hours (40 Hours/Week)
• Work Setting: Remote
• Approved Remote Location: Ohio
• Pay Rate: $28.00 – $31.00 per Hour

Job Summary:

The Quality Assurance (QA) Nurse is a professional, Registered Nurse (RN) 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.

Responsibilities:

• Prospectively review all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
• Utilize OASIS variation or alert reports when reviewing OASIS data.
• Ensure appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition.
• Consult with appropriate clinical staff to clarify any data integrity issues and will work with the clinician to make appropriate corrections according to policy.
• Review visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
• Notify organizational leadership of problematic trends as a result of OASIS review.
• Work with managers to address trends that affect the agency's outcome and process measures noted during OASIS review.
• Participate in Quality Improvement and Corporate Compliance activities as assigned.
• Assist with other chart audit activities as assigned.
• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
• May be requested to perform job-related tasks other than those stated in this description.

Qualifications

Qualifications:

• Associate or bachelor’s degree in nursing from as accredited school of nursing.
• A valid/active RN license in the state of Ohio.
• At least one (1) year of OASIS review required.
• 1-2 years of clinical home health experience preferred.
• OASIS certification preferred.
• Working knowledge of OASIS and ICD-10 coding.
• Knowledge of federal regulations and state licensure requirements.
• Proficient in Wellsky EMR.
• Working knowledge of Microsoft 365.
• Excellent coordination and communication skills.
• Detail oriented and able to work with minimal supervision.
• Must successfully pass a background check in accordance with state and federal regulations.

​​​​​​​Benefits: 

• Health Insurance
• Dental Insurance
• Vision Insurance
• 401(k)
• 401(k) Matching
• Flexible Spending Account
• Paid Time Off
• Paid Sick Time
• Referral Program