Draper, Utah
QA Nurse - Home Health & Hospice Job Opening in Draper, Utah - COMPANY DESCRIPTION-
Ashby Home Health and Hospice is a leading healthcare provider in Utah. We are committed to providing the highest quality home-based patient care! Our highly trained clinicians,therapists and administrative team strive to exceed the expectations of our patients, families, caregivers and physicians. Our goal is to become the premier provider of post-acute services. We are currently looking for healthcare professionals who share our mission, vision and values and want to become part of our growing family.
JOB DESCRIPTION SUMMARY-
The Quality Assurance Nurse is a professional RN or LPN responsible for analyzing data integrity and consistency of OASIS documentation, evaluations and routine visit notes when needed. This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.
ESSENTIAL JOB
Reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
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 organization policy.
Reviews visit utilization for appropriateness of care guidelines and patient condition
Prepares and Manages the ADR, appeal, and administrative law judge process.
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.
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.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
POSITION QUALIFICATIONS-
RN or LPN with current license to practice professional nursing in the state.
One (1) or more years of clinical home health experience required. Oasis review experience required.
Working knowledge of OASIS and ICD-10 coding. OASIS certification preferred; OASIS Home health ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Working knowledge of computer systems.
Possess and maintains current CPR certification.
Excellent coordination and communication skills.
Detail oriented and able to work with minimal supervision.
Job Type: Part time
Required experience:
Home Health: 1 year
RN/LPN: 1 year
Job Type: Part-time
Job Location:
Draper, UT
Required education:
Associate
Required experience:
home health: 1 year
Required license or certification:
LPN/RN
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