Quality Reviewer, Full-Time Days, 8a-4p, Atlantic Visiting Nurse
Atlantic Health SystemAbout the role
Duties & Responsibilities:
1. Provides timely review of SOC, ROC and Recertification documentation. Utilizes CRC assessment tool to provide clinical feedback related to OASIS accuracy and POC.
2. Accurately codes chart based on primary and secondary reasons for home care through thorough chart review. Reviews and advances 485 in a timely manner.
3. Demonstrates proficient use of home care information system and decision support software.
4. Oversees utilization of resources for Medicare clients by recommending resources to match patient needs.
5.Provides timely feedback and education to clinical staff regarding OASIS and documentation deficits. Timely notification of manager and assistant manager regarding staff non-compliance. Identifies and reports trends which require staff education.
6. Identifies and reports trends which require staff education.
7. Provides education to clinical staff and intake staff:
- Develops and implements educational sessions both individually and in team meetings
8. Participates in agency’s QAPI program:
- Participates in performance improvement projects
9. Assists with growing agency business:
- Cross trains to learn new skills
- Accepts other assignments to support agency.
10. Attends continuing education to develop proficiency in OASIS review and ICD-10 coding.
Job Qualifications/Experience:
- Current NJ RN or PT License
- Three Years of Certified Home Care experience
- Thorough knowledge of home care regulations and COPs
- OASIS and Coding certification desirable
- Morristown Medical Center, Morristown, NJ
- Overlook Medical Center, Summit NJ
- Newton Medical Center, Newton, NJ
- Chilton Medical Center, Pompton Plains, NJ
- Hackettstown Medical Center, Hackettstown, NJ
- Goryeb Children's Hospital, Morriston NJ
- Atlantic Rehabilitation
- Atlantic Home Care and Hospice
We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We are part of Atlantic Accountable Care Organization, one of the largest ACOs in the nation, and are a member of AllSpire Health Partners.
We receiver awards and recognitions for what we provide to our patients, team members and communities. Below are just a few of our accolades:
- 100 Best Companies to Work For ® and FORTUNE® magazine (13 years in a row)
- Best Places to Work in Healthcare - Modern Healthcare
- 150 Top Places to work in Healthcare - Becker's Healthcare
- 100 Accountable Care Organizations to Know - Becker's Hospital Review
- Best Employers for Workers over 50 - AARP
- Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
- CEO Cancer Gold Standard ™
- One of the 100 Best Workplaces for Millennials" Great Place to Work® and FORTUNE® magazine
- One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine
- Security 500: Security Magazine
- Official Health Care Partner of the New York Jets
- NJ Sustainable Business ��
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