Licensed Vocational Nurse

6 days ago


Newport Beach, United States Capleo Global LLC Full time

Job Summary:

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

Key Responsibilities:

  • Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
  • Ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities.
  • Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
  • Performs other duties as assigned.

Requirements:

  • One (1) to two (1) years of clinical experience required.
  • Working knowledge of OASIS and ICD-10 coding.
  • Knowledge of federal regulations and state licensure requirements.

Certifications & Licensure:

  • Current LVN License to practice in the State of California.
  • Current BLS Certification.

Preferred Certifications & Licensure:

  • OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred


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