RN Quality Review Manager, Home Health

Added
4 days ago
Type
Full time
Salary
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Related skills

cms oasis hchb pdgm cos-c

πŸ“‹ Description

  • Audit and validate patient Plan of Care (CMS-485) and OASIS for accuracy.
  • Ensure CMS/Medicare regulatory compliance and proper reimbursement.
  • Review CMS-485 against referrals, H&P, OASIS for consistency.
  • Communicate OASIS edit recommendations to clinicians to improve accuracy.
  • Support all disciplines; educate on CMS and PDGM guidelines.
  • Maintain monthly communication with service offices; track documentation trends.
  • Perform related duties as requested by Manager/Director.

🎯 Requirements

  • COS-C, HCS-O or COQS OASIS Certification required
  • Active Compact RN license with at least 2 years clinical experience
  • HCHB experience is a plus
  • Proficient PC skills

🎁 Benefits

  • Fully remote position
  • Base salary $77,000 - $80,000 per year
  • Comprehensive benefits: health, vision, dental, life; 401k match; EAP
  • Paid holidays, vacation, and sick leave; direct deposit
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