Quality Assurance Registered Nurse, Home Health

🔥 33 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

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Pennant

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🤝 B2B

👥 B2C

🧘 Wellness

💰 $108.5M Post-IPO Equity - The Pennant Group on 2024-10

B2B • B2C • Wellness

Pennant is a national healthcare services organization that partners with local affiliates to deliver home-based clinical care and senior living services across the United States. It supports and operates affiliate agencies providing home health, hospice, palliative care, home care, mobile primary care, and senior living communities, and works with health systems to manage post-acute transitions. Pennant also runs leadership and ownership development programs to grow local leaders and help affiliates scale.

📋 Description

• Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations • Analyze OASIS variation and alert reports to identify documentation gaps and trends • Ensure correct ICD‑10 coding and sequencing, including primary diagnoses and co‑morbidities • Collaborate with home health clinicians to clarify documentation issues and support appropriate corrections • Review visit utilization to ensure services align with patient condition, care guidelines, and reimbursement requirements • Identify potential underutilization, overutilization, or financial risk and report findings to Clinical Supervisor or designee • Communicate problematic trends in OASIS data, outcomes, and processes to leadership • Participate in Quality Improvement (QI), performance improvement, and Corporate Compliance activities • Assist with additional chart audits and clinical documentation reviews as needed

🎯 Requirements

• Registered Nurse (RN) with an active California license • 2+ years of home health nursing experience required • Strong working knowledge of OASIS (OASIS-E preferred) • In-depth understanding of CMS regulations, Medicare Conditions of Participation (CoPs), and state licensure requirements • Strong analytical skills with attention to detail and excellent clinical judgment • Effective communication and collaboration skills with interdisciplinary teams

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development