Overview
Quality Reviewer – RN Jobs in Dedham, Massachusetts, USA at Hebrew SeniorLife
Overview
The Director of Quality and Patient Safety, within established agency policy and procedures, provides support and assists the Agency in meeting the objectives of the Quality and Safety Department. This includes, but is not limited to, meeting regulatory requirements, coding accuracy, OASIS accuracy, documentation review, and ongoing education to staff.
Responsibilities
Reviews OASIS and visit notes to ensure accuracy in documentation, accurate coding, and sequencing of diagnoses as governed by regulatory rules and regulations.
Audits clinical records for appropriate utilization of services, quality outcome measurement, standards of practice, and to ensure regulatory compliance.
Participates in the implementation and evaluation of the agency quality program to ensure achievement of quality outcomes.
Assists in developing and providing educational programs for direct care staff that will improve individual and group performance on OASIS/documentation.
Works individually with clinicians to promote accuracy with OASIS and documentation requirements to meet regulatory standards, including field supervision.
Participates in staff meetings to facilitate ongoing education as it pertains to clinical, quality, regulatory, and compliance.
Contributes to developing education plans and achieving relevant goals.
Provides excellent customer service to employees, customers, and physicians according to agency standards.
Participates in the QAPI Committee.
Required Qualifications
Licensed Registered Nurse in the state of Massachusetts.
Baccalaureate degree from a program accredited by the National League for Nursing preferred (equivalent combination of education, training, and experience may be substituted for this criterion).
Experience in OASIS documentation; certification preferred.
Experience in ICD-10 coding; certification preferred.
Five years of nursing experience, of which 2-3 years are in the field of home health.
Possess strong leadership skills and a strong working knowledge of home health regulatory requirements.
Demonstrates ability to work in a team-oriented environment.
Hospice experience is a plus.
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Title: Quality Reviewer – RN
Company: Hebrew SeniorLife
Location: Dedham, Massachusetts, USA
Category: Healthcare, Quality Assurance – QA/QC
