Quality Review LVN

1 month ago


Newport Beach, United States Careerbuilder-US Full time

Job title : Quality Review LVN

Location: Newport Beach, CA

Job Duration: 3 Months (possible extension)

Shift : 8:30 AM - 5:30 PM

Pay Range: $20-$22/hr. on W2

Summary:

The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes.

This position will ensure appropriate ICD10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.

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 ICD10 coding and sequencing as it relates to the patient's medical condition, including any comorbidities.

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 interrater reliability visits with clinical staff.
Performs other duties as assigned.


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