Quality Assurance Nurse - Home Health in Albuquerque, NM at Compassus

Date Posted: 7/8/2018

Job Snapshot

Job Description



Current Compassus Colleagues: Please apply via Workday.

As a Compassus nurse, you have the autonomy to utilize your nursing skills. You are relied upon to take care of patients and families who need help after hours in typically urgent times. You are invited into patients’ homes and lives during uncertain times and have the honor of becoming a trusted face. For many of our team members, this is more than a career — it’s a calling.


Do you want to make a difference in the lives of others? Join our team today as a Quality Assurance Nurse- Home Health to positively impact the experiences of patients and families.


Position Summary

The Quality Assurance Nurse provides overall management, coordination and supervision of clinical services with their respective teams. As the Quality Assurance Nurse, you will work to ensure the effective and efficient delivery of clinical services by ensuring staff accountability and productivity, and compliance with regulations, orientation and training and OASIS accuracy. You will oversee documentation, coding and patient outcomes and ensure continuous education of the Interdisciplinary Team.


Principal Accountabilities

  • Maintain charts to meet Medicare/Medicaid regulations  
  • Ensure audit of records at regular intervals to assess for compliance
  • Report deficiencies to appropriate staff for corrections and follow up to ensure completion
  • Assist in test edit chart reviews, as requested by fiscal intermediary 
  • Ensure that the plans of care are updated to reflect new orders, intervention, and instructions
  • Review Interdisciplinary Team documentation for accuracy and completeness
  • Submit quarterly report for Governing Board to ED 
  • Review patient’s clinical diagnosis, medications, procedures and clinical course
  • Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and developing a plan of care through OASIS review with staff
  • Conduct quarterly record reviews and communicate findings and recommendations to the Administrator
  • Comply with home health policies and procedures, laws and regulations and standards of practice
  • Provide support to director of patient care services related to quality and compliance issues


Qualifications

  • Knowledge of applicable laws, OASIS, regulations and standards
  • Communication and organizational skills
  • Ability to organize, delegate, supervise and evaluate staff
  • 3+ years’ experience in a medicate certified home health agency
  • ICD-10 coding experience and understanding
  • OASIS –C Certified preferred
  • Valid driver’s license and auto liability insurance

Education and/or Experience                                                                                                              

Registered Nurse licensed in the state of employment. Knowledge and experience in quality improvement and/or utilization review. Home health, Oncology, or Home Health and/or long-term care preferred.


State Specific Certifications:

  • Louisiana: Two years full time experience as a Registered Nurse or two years clinical in home health

Compassus, including all Compassus affiliates, complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Compassus, including all Compassus affiliates, does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

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