Quality Assurance Registered Nurse (QA RN)

The Sequoia Difference At Sequoia Home Health and Hospice, we’re passionate about our work and take pride in the quality of service we provide. Our community is uniquely diverse, and it’s our aim to fulfill the unique needs of our patients through excellent individualized care. Our focus is to help facilitate a smooth and safe transition home and provide life-changing service with the amount of care and dignity our patients and their families deserve.

Sequoia Hospice is growing and looking for experienced, compassionate Quality Assurance Registered Nurse (QA RN) to join our team! JOB SUMMARY: The OASIS Review Nurse is a professional, registered nurse 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 reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and Seaport Scripps Home Health. Utilizes OASIS variation or alert reports when reviewing OASIS data. Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition, including any co-morbidities. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per Seaport Scripps Home Health. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the Clinical Supervisor/designee. Notifies Seaport Scripps Home Health leadership team 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 inter-rater reliability visits with clinical staff. Participates in Quality Improvement and Corporate Compliance activities as assigned. Assists with other chart audit activities as assigned. Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.