Quality Assurance Nurse

2 weeks ago


Portland, Maine, United States Northern Light Health Full time
Job Summary

We are seeking a highly skilled Quality Assurance Nurse to join our team at Northern Light Home Care and Hospice. As a Quality Assurance Nurse, you will play a critical role in ensuring the accuracy and completeness of clinical documentation, while also collaborating with staff and leadership to identify areas for improvement and implement quality initiatives.

Key Responsibilities
  • Analyze clinical documentation, including OASIS documentation, to ensure accuracy and completeness
  • Utilize critical thinking and organizational skills to ensure timely processing of all SOC/ROC, re-certification, and resumption of care and discharge assessments
  • Review OASIS for completeness and accuracy on admissions, re-certifications, resumptions of care, and discharges, and communicate needed changes to appropriate staff
  • Collaborate with others to review CMS additional documentation requests, monitor for trends, and report to clinical leaders
  • Review documentation and accurately apply diagnoses codes
  • Problem solve and troubleshoot documentation for coding discrepancies, logical inconsistencies, errors, and completeness
  • Collaborate with billing staff to resolve diagnoses coding issues
  • Maintain productivity at or above national benchmarks
Requirements
  • 2+ years of relative work experience required
  • 2 years of clinical experience, one of which is in home health or hospice care
  • Certification as an OASIS Specialist-Clinical by the OASIS Certificate and Competency Board
  • Certification as a Home Care Coding Specialist-Diagnosis
  • BLS for Healthcare Providers certification
Working Conditions
  • Potential exposure to abusive and/or aggressive people
  • Potential exposure to diseases or infections
  • Need to drive to perform responsible duties
  • Potential exposure to noxious odors
  • Potential exposure to very hot or cold temperatures
  • Work with computers, typing, reading, or writing
  • Lifting, moving, and loading 20 to 30 pounds
  • Prolonged periods of sitting
  • Work beyond the regularly scheduled hours


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