Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and Excell Home Care & Hospice policy. Utilizes OASIS variation or alert reports when reviewing OASIS data.
Ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities. Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per Excell Home Care & Hospice policy. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial losses and/or underutilization to the clinical manager/designee.
Analyzes problematic trends as a result of OASIS review and makes recommendations to leadership team. Works with managers to address trends that affect the agency's outcome and process measures noted during OASIS review. Makes OASIS inter-rater reliability visits with clinical staff.
Participates in Quality Improvement and Corporate Compliance activities as assigned. Assists with other chart audit activities as assigned. Monitors the Puget Sound Home Health's Outcome Based Quality Initiative (OBQI) outcomes. Provides feedback and best practice education to staff to improve outcomes.
Coordinates activities related to clinical record review for data collection.
Compiles, trends and reports quality data in the following areas: patient care, safety, risk management, infection control, outcomes, and customer satisfaction. Data is analyzed and compared internally and externally with other sources when available.
Works collaboratively with nursing supervisors to ensure documentation is complete and consistent with care and reflects legal requirements.
Collaborates with nursing supervisors to provide a process to promote and ensure employee orientation, competency and in-service education programs.
Assists in the identification of skills for annual competence and provides in-service training support.
Assist in monitoring Excell Home Care & Hospice compliance with regulatory and accreditation standards. Maintains current knowledge related to Medicare Conditions of Participation and the Joint Commission's standards to ensure that the Excell Home Care & Hospice is compliant with state, federal and accreditation guidelines.
Responsible for ensuring policies and procedures as related to OASIS data collection reflect all related local, state, federal and Joint Commission standards and makes recommendation for policy changes to the governing board. Acts as a resource to the Director of Nursing and the Assistant Directors of Nursing regarding standards, policies, regulations and provides in-service training to leadership and personnel as needed in these areas. Acts as a clinical resource to personnel.
Maintains updated therapy knowledge and skills.
Assists with patient visits as needed.
Promotes self-growth and collegial relationships with others in the home care industry.
Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal and professional networks and participates in professional networks or societies.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.
The employer for this position is stated in the job posting. Ensign Services, Inc. provides recruiting services for operations in the skilled nursing, assisted living, home health and hospice industries.
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