Quality Review LVN
Pride Health is hiring a Quality Review Nurse for our client located in Newport Beach, CA on a 13-week contract!
Summary:
This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.
Schedule:
8 am - 5 pm M-F DaysPay Rate:
30-33/ hourResponsibilities The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes.
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
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.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
Notifies organization leadership 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.
Performs other duties as assigned.
SkillsDiversity, Infection control, interpersonal skills, job knowledge, oral/written communication, patient documentation, patient safety, technology and equipment skills, possible travel.
Business acumen, customer satisfaction, innovation, trust and accountability.
Qualifications High School diploma or equivalent.
One (1) to two (2) years of clinical experience required.
Working knowledge of OASIS and ICD-10 coding.
OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Current LVN License to practice in the State of California.
Required:
Current BLS Certification.
Apply for this role with Pride Health! Recommended Skills Assessments Basic Life Support Clinical Works Commercial Awareness Communication Customer Satisfaction Estimated Salary: $20 to $28 per hour based on qualifications.
Summary:
This position will ensure appropriate ICD-10 coding and sequencing and will work with clinical staff to clarify documentation and data integrity issues.
Schedule:
8 am - 5 pm M-F DaysPay Rate:
30-33/ hourResponsibilities The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes.
Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy.
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.
Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
Notifies organization leadership 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.
Performs other duties as assigned.
SkillsDiversity, Infection control, interpersonal skills, job knowledge, oral/written communication, patient documentation, patient safety, technology and equipment skills, possible travel.
Business acumen, customer satisfaction, innovation, trust and accountability.
Qualifications High School diploma or equivalent.
One (1) to two (2) years of clinical experience required.
Working knowledge of OASIS and ICD-10 coding.
OASIS certification (COS-C) preferred; OASIS Home Health ICD-10 coding certification preferred.
Knowledge of federal regulations and state licensure requirements.
Current LVN License to practice in the State of California.
Required:
Current BLS Certification.
Apply for this role with Pride Health! Recommended Skills Assessments Basic Life Support Clinical Works Commercial Awareness Communication Customer Satisfaction Estimated Salary: $20 to $28 per hour based on qualifications.
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