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Quality Assurance (QA) Nurse

Company: Greystone Home Health of Sarasota
Location: Sarasota
Posted on: March 12, 2019

Job Description:

Quality Assurance (QA) Nurse Remote work opportunity Greystone Home Health is looking for a Quality Assurance (QA) Nurse. The QA nurse 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. Quality Insurance (QA) Nurse job responsibilities:

  • Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
  • Utilizes OASIS variation or alert reports when reviewing OASIS data.
  • Ensures Appropriate ICD-10 coding and sequencing as it relates to the patients 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 organization policy.
  • Reviews visit utilization and appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
  • Notifies organization leadership 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 a professional and technical knowledge by attending educational workshops and reviewing professional publications. Job Requirements for Quality Insurance (QA) Nurse:
    • Registered nurse with current license to practice professional nursing in the state.
    • One to two 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.
    • Possess and maintains current CPR certification.
    • Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
    • Excellent coordination and communication skills.
    • Detail oriented and able to work with minimal supervision. Our Benefits Include: Health, dental, vision and life insurance. Your well being is important, and we value it. Paid time off, including vacation and sick time. Because as much as you love your job, we want you to also love having time to be you. A 401K retirement plan. You're our company's future, let us help you take care of yours. Continuing education credits. Life, learning, and education are our top priorities. Tuition reimbursement. The more you know, the more we can grow together. This is a Greystone Healthcare Company. As a growing organization, we offer many different career paths to help you achieve your professional goals.

      Keywords: Greystone Home Health of Sarasota, Sarasota , Quality Assurance (QA) Nurse, Healthcare , Sarasota, Florida

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