Careers At VNA Colorado

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QRN - Work at Home!

Department: Administration
Location: Denver, CO

 Quality Review Nurse   -  Work from Home (Must be Denver based)   

performs and supports quality nursing care by demonstrating an advanced level of nursing knowledge and proficiency to ensure accuracy of 485 certification, OASIS completion and diagnosis coding.     (with or without reasonable accommodation)

 

  •  Manage quality of documentation through education and electronic review of the OASIS and 485.
  •  Demonstrate expertise, serves as a resource, and provide training in OASIS, diagnosis coding and Plan of Care (485) documentation.
  •  Communicate regularly and effectively with assessing Clinicians and Clinical Managers.
  •  Evaluate competency of OASIS and 485 documentation and works with Clinical Managers in planning strategies to improve deficiencies identified.
  •  Assess appropriateness of patients to home care requirements and adherence to payor rules and regulations.
  •  Handle difficult situations calmly and efficiently.
  •  Review documentation to assure appropriateness, timeliness and compliance with pay source regulations.
  •  Review OASIS and Plan of Care for accuracy and completeness and incorporates edits from SHP alerts to identify OASIS inconsistencies or incorrect diagnosis coding.
  •  Discuss suggested edits with the assessing Clinician prior to making edits or corrections to the OASIS. Examines, analyzes and interprets reports as appropriate.
  • Monitor SHP reports specific to Outcomes and Process Measures to identify needs in training and implementation of best practice

Requirements 

Graduation from an approved educational program for nursing. BSN degree preferred. Must have an active Colorado RN license or a license from the state of primary residence, if participating in the NLC (Nurse Licensure Compact). OASIS C and ICD-10 certification is preferred, but may be substituted for actual hands on experience.

The Visiting Nurse Association is an EEO Employer, Race, Gender, Veterans, Disability.

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