Job Description:
Home Health Quality Review Specialist - OASIS Auditor
Full Time
Monday-Friday 8-5
Some on call rotation
Are you a dedicated Quality Review Specialist with a passion for delivering quality care? Join our team and make a difference in patients' lives. We are owned and operated by National Church Residences, the nation's largest provider of affordable senior housing and health care services.
Core Responsibilities
- Chart/Record Audits: Review patient medical records and documentation for accuracy, completeness, and compliance with internal policies and external regulations (CMS, OASIS guidance, state and federal laws).
- Performance Monitoring: Track and analyze key performance indicators (KPIs), including patient outcomes, readmission rates, medication errors, and adherence to care plans and oasis guidance.
- Compliance Oversight: Ensure compliance with healthcare standards, policies, and all regulatory requirements.
- Staff Education & Feedback: Provide constructive feedback and training to clinical staff regarding documentation practices, quality standards, and opportunities for improvement.
- Quality Improvement: Identify trends, gaps, and risks in care delivery; collaborate with leadership to develop and implement corrective action plans.
- Patient Safety: Monitor for patient safety concerns, adverse events, or near misses, and ensure timely reporting and resolution.
- Data Analysis & Reporting: Collect, interpret, and present data to leadership, committees, and regulatory bodies to support continuous improvement.
Skills & Qualifications
- Strong knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies (e.g., Lean, Six Sigma, QAPI certified).
- Background in nursing, healthcare administration, or health information management. (But will also accept PT, OT, SLP, MDS)
- Exceptional attention to detail with strong analytical and problem-solving skills.
- Excellent written and verbal communication skills with the ability to provide feedback and training to staff.
- Ability to collaborate effectively with interdisciplinary teams (nurses, physicians, administrators).
Education
- High school diploma or GED required; Associate's degree preferred.
- OASIS and Coding certification required.
Experience
- Minimum of two years of experience in home care (or experience completing oasis assessments in E or E1).
- Strong background in assessments, clinical documentation, and coding.
- ICD-10coding experience is a plus
Additional Requirements
- Communication & Interpersonal Skills: Must demonstrate excellent communication, comprehension, and interpersonal abilities. Proficiency in reading, writing, and speaking English is required.
- Technical Skills: Proficiency with Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and Windows-based applications. Ability to quickly learn and adapt to new software systems.
- Professional Skills: Highly organized, self-directed, and capable of managing multiple priorities. Strong motivational skills with high emotional intelligence (EQ).
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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, ancestry, military status, disability, genetic information and/or any other characteristics protected by applicable law.