Quality & Compliance Nurse

Company: Cascadia Services, LLC
Location: Meridian
Posted on: May 21, 2023

Job Description:

Description: Job Description SummaryThe Quality & Compliance Nurse is a professional, registered nurse responsible for analyzing data integrity and consistency of clinical documentation and assessment processes. This position will ensure appropriate OASIS documentation, care planning and will work with clinical staff to clarify documentation and data integrity issues.Essential Job Functions/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 Face-to-face documentation 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; 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.
• Participates in QA activities including note review, infection and adverse event tracking
• Provides education to clinical staff based on documentation reviews and trends identified.
• 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.Requirements: Position Qualifications
  • Registered nurse with current license to practice professional nursing in the state.
  • One (1) to two (2) years of clinical home health experience preferred.
  • Working knowledge of Medicare regulations, OASIS coding, face-to face requirements
  • Knowledge of federal regulations and state licensure requirements.
  • Working knowledge of computer systems.
  • 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.PI216591099

Keywords: Cascadia Services, LLC, Meridian , Quality & Compliance Nurse, Other , Meridian, Idaho