Quality Reviewer (RN or PT)

The VNA of the Treasure Coast provides compassionate, innovative care of the highest quality, setting the standard for patients and caregivers needing private care, home health, hospice, and community health services.

Together, we provide the highest quality patient care.

Come be a part of the VNA team! We are a mission-minded non-profit organization that has been committed to making a difference in the community we serve since 1975!

The VNA offers its associates a competitive array of benefits and perks such as:

• Competitive pay
• Up to 18 paid days off accrued in first year, 6 observed holidays
• Competitive rates and plans for health, dental, and vision insurance
• Employer paid term life insurance
• 403b retirement plan with company match after one year
• Complimentary access to VNA Mobile Health Clinic
• Tuition reimbursement after one year of service
• Free CEU credits
• Immediate Access to Employee Assistance Plan (EAP)
• Several local and national discounts

The Quality Reviewer position support efforts of VNATC Home Health in managing quality of care, utilization, documentation and outcome and process management through associate interaction, education and timely review of electronic patient records.  Integrate and demonstrate the core values of the VNA in all aspects of work responsibilities.

Responsibilities:

1. Review and approve all patient information and clinician documentation that is provided by the assessing clinician during OASIS timepoints (SOC, ROC, Recertification, Evaluation visit or Discharge)
2. Analyze OASIS data to ensure accuracy of data.  
3. Review diagnosis coding and plan of care (POC/485) for accuracy and completeness
4. Assure appropriateness of patients to home care requirements and adherence to all payor rules and regulations
5. Communicate regularly and effectively with assessing clinicians and clinical managers to facilitate care planning at all points within the client’s admission
6. Identify high risk cases that require interdisciplinary case conferencing
7. Review clinical records for accuracy and completeness on an ongoing basis
8. Collaborate with QAPI nurse and home health educator regarding review findings and training needs
9. Participate in QAPI Committee
10. Other duties as assigned

Qualifications:

• At least one year recent Home Health experience related to OASIS coding and review
• Knowledge of CMS Home Health regulations including current COPs
• Knowledge of (or experience with) ICD-10 coding is a plus
• Experience with Homecare Homebase EMR preferred
• Active RN or PT license in the State of Florida
• Current Basic Life Support for Health Care Provider Certification/CPR

*This position requires screening through the Care Provider Background Screening Clearinghouse. For more information, please visit https://info.flclearinghouse.com

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending accounts
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance