Call Us Today

508 668 1066

Quality Reviewer

Natick Walpole Visiting Nurse - Walpole, MA

NWVNA is seeking a Quality Reviewer to work in the home care setting. Flexible schedule and competitive salary!

Duties will include:

  • Audit electronic charts that may include Medicare, Medicaid, and Private Insurance to assure all are in compliance with State and Federal regulations 

  • Training and development of clinical staff in OASIS, coding and documentation competencies `

  • Must demonstrate above average attention to detail to ensure accuracy, and be able to prioritize and multi-task efficiently.

  • Determine and document any areas that may need improvement.

  • Demonstrated ability to navigate electronic clinical software program

  • Under the direction of the Director for Patient Quality and Safety review the current policies and improvise plans to improve upon the existing quality standards.

  • Ensure the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures.

  • Ensures accuracy & completeness of patient records

  • Excellent written and oral communication skills.

 

Requirements:

  • Bachelor’s Degree in Nursing or Physical Therapy

  • Three years experience in Home Health Care required, preferably one year in Quality Improvement. 

  • Certification in OASIS preferred, required within 1 year of employment

  • Critical thinking skills, decisive judgment and the ability to work with minimal supervision

  • Possess working knowledge of third party reimbursement as well as regulatory requirements

  • Working knowledge of computer and ability to learn home care software package

  • Working knowledge of home care reimbursement

  • Working knowledge of OASIS document

 

Work Environment:

  • Must demonstrate ability to work in team oriented environment.