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Form of workJob Description
At River Valley Home Health and Hospice we believe that caring for the elderly or frail is the noblest of professions. Our team is trained and motivated to deliver superior clinical outcomes and high patient and family satisfaction. It is through our team’s dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. A career with River Valley Home Health and Hospice requires a commitment to making work fun and celebrating successes; delivering and holding each other to the highest standards of care and professionalism; continual learning; treating others as people whose interest matter as much as our own; being innovative while using good judgment. One other thing about our work culture; we know that in order for our patients to receive the care they deserve; we need to put our employees first.
Job description
The OASIS Review/Clinical Support Nurse is 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.
Duties and Responsibilities
1. Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
2. Utilizes OASIS variation or alert reports when reviewing OASIS data.
3. Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities.
4. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
5. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
6. Notifies DCS and Agency Managers of problematic trends as a result of OASIS review.
7. Participates in Quality Improvement and Corporate Compliance activities as assigned.
8. Assists with other chart audit activities as assigned.
9. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
10. Offers supportive guidance and education to clinical staff for Quality Assurance.
11. Takes ownership for driving positive results
12. Performs close monitoring of quality metrics that affect agencies STAR rating, HHCAHPS, and VBP outcomes.
13. Maintains a positive disposition and enthusiasm for our core values.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
Job Requirements (Education, Experience, Knowledge, Skills & Abilities)
1. Must be a Registered nurse with active AZ license (CA licensure will also be required.)
2. Minimum of 2 years’ experience in Home Health with ability to demonstrate strong working knowledge of OASIS accuracy OR experience managing Value Based Purchasing under PDGM or PDPM models in a post-acute care setting.
3. Working knowledge of OASIS and ICD-10 coding. OASIS certification (COS-C) preferred.
4. Knowledge of federal regulations and state licensure requirements.
5. Working knowledge of computer systems.
6. Possess and maintains current CPR certification.
7. Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
8. Excellent coordination and communication skills.
9. Detail oriented and able to work with minimal supervision.
10. Passion for learning and providing education with a high standard for clinical excellence.
Location: Quality Assurance Specialist will travel to Lake Havasu, Kingman, Bullhead City and Parker offices.
At River Valley Home Health and Hospice we believe that caring for the elderly or frail is the noblest of professions. Our team is trained and motivated to deliver superior clinical outcomes and high patient and family satisfaction. It is through our team’s dedication to deliver life changing service that we become the “provider of choice” in the community that we serve. A career with River Valley Home Health and Hospice requires a commitment to making work fun and celebrating successes; delivering and holding each other to the highest standards of care and professionalism; continual learning; treating others as people whose interest matter as much as our own; being innovative while using good judgment. One other thing about our work culture; we know that in order for our patients to receive the care they deserve; we need to put our employees first.
