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Description

PeaceHealth Home Health in Vancouver, WA is seeking a Home & Community Quality Reviewer for a Per Diem/Relief, 0.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $45.14 – $67.70. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Job Summary

Responsible for the quality review of all OASIS/HIS admission documents and Plan of Care to ensure CMS program compliance is met. Works closely with the System Manager of Quality for Home & Community along with Home & Community leadership, and Senior Quality Facilitator to promote regulatory compliance and excellent patient outcomes and reimbursement. Serves as a consultant, auditor and OASIS/HIS expert to Home Health/Hospice staff across the PeaceHealth system.

What you will do:

+ Ensures the timely review and processing of Home Health OASIS/HIS admission document and Plan of Care.

+ Serves as stakeholder in determining appropriate OASIS/HIS scoring for correct reimbursement.

+ Collaborates with leadership to audit and analyze performance trends in OASIS/HIS accuracy; assist in determining learning needs for clinical staff.

+ Educates and provides feedback to clinical staff to correct completion on OASIS/HIS admissions document.

+ Ensures the review of OASIS/HIS data items and ensures OASIS/HIS based process measures and OASIS/HIS based outcome measures to positively impact Home Health Five Star score and Hospice Quality ratings.

+ Ensures regulatory compliance with OASIS/HIS conventions and Plans of Care components.

+ Ensures timely processing of OASIS/HIS to meet CMS guidelines and CMS billing requirements.

+ Promotes evidence-based practice care and documentation of skilled care.

+ Reviews all assigned OASIS/HIS tasks on a daily basis.

+ Provides clinical and quality leadership and oversite for LPN OASIS/HIS reviewers.

+ Home Health Quality Reviewer: In Home Health the Quality Reviewer data sets being reviewed are the OASIS data sets and not HIS which is specific to Hospice.

What you bring:

+ Accredited Program Required: Nursing or Therapy

+ Minimum of 2 years Required: Clinical experience

+ Required: Experience in Home Health/Hospice

+ Required: Experience with EPIC EMR system

+ Required : Registered Nurse Current licensure in the state of Washington, or

+ Required : Current State Licensure as PT, OT or SLP in the state of Washington

+ Required within 1 Year: Home Care Clinical Specialist - OASIS

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

REQNUMBER: 111478