Quality Assurance Registered Nurse (9435)

Summit Home Care is a skilled home care agency committed to providing comprehensive health care in the comfort and convenience of home. Our mission is to positively impact quality of life by redefining the delivery of care. We are driven to exceed the standard of care that our competitors accept. The vision of Summit Home Care is to revolutionize health care in the home by becoming the unmatched leader across the US.

Summit Home Care and Hospice is searching for an experienced and motivated Quality Assurance Registered Nurse to join our Home Health & Hospice teams. At Summit, we believe healthcare should be personal, compassionate, and delivered where it matters most—at home. QA Registered Nurse Hours: Monday – Friday; Standard Business Hours (40 Hours/Week) Work Setting: Remote Approved Remote Location: Ohio Pay Rate: $28.00 – $31.00 per Hour Job Summary: The Quality Assurance (QA) Nurse is a professional, Registered Nurse (RN) 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.

Prospectively review all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy. Utilize OASIS variation or alert reports when reviewing OASIS data. Ensure appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition. Consult with appropriate clinical staff to clarify any data integrity issues and will work with the clinician to make appropriate corrections according to policy. Review visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee. Notify organizational leadership of problematic trends as a result of OASIS review. Work with managers to address trends that affect the agency's outcome and process measures noted during OASIS review. Participate in Quality Improvement and Corporate Compliance activities as assigned. Assist with other chart audit activities as assigned. Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications. May be requested to perform job-related tasks other than those stated in this description.