Job Description
We're seeking an OASIS/Clinical Record Review Nurse who will provide support in assuring the quality of clinical care. The OASIS Review Nurse will analyze the data integrity and consistency of OASIS documentation and assessment processes. The OASIS Review Nurse will work with clinical staff to clarify documentation and data integrity issues.
- Monday through Friday (hybrid in Brooklyn)
- Benefits: PTO, 401(k) with a 5% match, FSA, and more!
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.
- 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; 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.
- Performs chart review/audit.
- Reviews records for finance/billing department.
- Assists with other chart audit activities as assigned.
- Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
Requirements:
- Must be a Registered Nurse (RN) in the state of New York
- Must have 1-2 years of clinical home health experience (CHHA only)
- Must have 1-2 years of clinical chart review/audit experience
- Knowledge of OASIS-E
- Knowledge of federal regulations and state licensure requirements
- Knowledge of computer systems required
- Licensed, insured driver with reliable vehicle
- Excellent coordination and communication skills
- Detail-oriented and able to work with minimal supervision