OASIS Quality Assurance Reviewer

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Working Nurses Homecare is seeking an experienced Registered Nurse to join our OASIS Quality Assurance team. This role supports accurate assessments, timely documentation, and individualized plans of care through clinical record review and collaboration with our field clinicians and clinical leadership.

The ideal candidate has strong Medicare home health experience, excellent attention to detail, and the ability to provide clear, constructive feedback.

Key Responsibilities

• Review OASIS assessments, including start of care, resumption of care, recertification, and discharge, for accuracy, completeness, and consistency with supporting clinical documentation.
• Identify discrepancies, missing information, and documentation gaps; communicate needed clarification to the assessing clinician.
• Review documentation supporting functional status, cognition, medications, wounds, diagnoses, and other assessment findings.
• Review plans of care for alignment with assessed needs, physician orders, visit frequencies, interventions, and measurable goals.
• Evaluate whether documentation clearly supports skilled services and homebound status and escalate concerns to clinical leadership.
• Track pending assessments, follow up on corrections, and help prevent delays in assessment completion and submission.
• Collaborate with case managers, field clinicians, therapy staff, and orders management to resolve documentation issues.
• Provide practical education on OASIS accuracy and home health documentation requirements.
• Identify recurring documentation trends and share findings with leadership to support staff education and quality improvement.
• Maintain patient confidentiality and follow agency policies and established review procedures.

Required Qualifications

• Active, unrestricted Florida RN license.
• At least two years of Medicare home health nursing experience.
• Experience completing and reviewing OASIS assessments.
• Strong understanding of OASIS guidance, Medicare home health documentation, skilled need, and homebound criteria.
• Ability to interpret clinical documentation and recognize inconsistencies.
• Strong organizational, communication, and time management skills.
• Comfortable providing constructive feedback and following up consistently.
• Proficiency with electronic medical records and basic computer applications.

Preferred Qualifications

• Previous home health quality assurance, clinical review, or case management experience.
• OASIS certification, such as COS-C or HCS-O.
• Experience with KanTime EMR.
• Familiarity with PDGM, diagnosis coding, and CHAP accreditation standards.

What Success Looks Like

• Accurate, thorough reviews completed within agency timelines.
• Clear, actionable feedback that helps clinicians resolve documentation issues promptly.
• Consistent follow-up on outstanding assessments and corrections.
• Improved documentation quality and fewer recurring errors.
• Strong collaboration with clinicians and clinical leadership.

This is a remote position.