Description
Job Requirements We are hiring an OASIS Review RN to join our Home Health team.
- Full-Time; 8:30am - 5:00pm
The Clinical Review RN is responsible for the review of admission and discharge data as assigned to ensure appropriateness, completeness, and compliance with state and federal regulations. Ensures appropriate Coding and sequencing as it relates to the patient's medical condition, including any co-morbidities and current guidelines. Consults with the appropriate clinician to clarify data integrity and documentation. Evaluates the accuracy of admission and discharge data at each time point to ensure the data is collected, encoded, and reflects the patient's status at the time of the assessment, based on the clinician's documentation. Provides ongoing Quality Reporting Program (QRP) and documentation education to clinicians as needed. Follows up with clinicians to ensure timeliness of admission and discharge data corrections. Review's admission and discharge and Plan of Care data for accuracy, appropriateness, and congruency. Ensures the completion of all necessary documentation by all disciplines for the completion and transmission process based on state and federal regulation. Notifies management of trends noted in QRP
documentation as a result of data review. Assists with billing audits and issues as needed. Participates in quality assessment performance improvement process. Performs other duties as assigned.
Minimum Requirements
Education
Graduate of an approved nursing program
Experience
One (1) year Home Health/Hospice experience or Quality experience
License/Registration/Certifications
Current license to practice as a Registered Nurse in South Carolina
Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through four hospitals: Spartanburg Medical Center, Pelham Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center, 113-bed long-term care, skilled nursing facility that offers nursing care and rehabilitation services.
SRHS provides unparalleled oncological care through the Gibbs Cancer Center & Research Institute. The multidisciplinary Medical Group of the Carolinas has more than 300 physicians across seven counties in two states.
SRHS employs nearly 6,000 associates and offers outpatient surgery centers, a vibrant post-acute division, and a Level I Trauma Center.