RN Quality Reviewer

Why You’ll Love This Role

• Competitive Pay - $77K - $100K per year based on experience
• Mostly Remote - Report on site only a couple times per month
• Great Work-Life Balance - Work a consistent Monday-Friday schedule
• Top Workplace Recognition - 5-time Boston Globe Top Places to Work
• Strong Benefits Package - Medical & Dental on Day 1, 403b, Generous PTO
• Professional Growth - Tuition Reimbursement program & Career Development with top-tier affiliations
  
  

This is a non-patient facing position. As a Quality Reviewer, you will play a key role in supporting the Agency’s Quality and Safety Department by ensuring regulatory compliance, enhancing coding and OASIS accuracy, performing thorough documentation reviews, and providing ongoing education to staff.

Key Responsibilities

• Review OASIS assessments and clinical notes to ensure regulatory compliance
• Ensure ICD-10 coding accuracy and correct sequencing of diagnoses
• Conduct quality audits on clinical records for service utilization and compliance
• Train and educate clinicians on OASIS documentation accuracy
• Participate in QAPI and quality assurance programs
  
  

Required Experience

• 5 years of Nursing experience as an RN
• Experience with ICD-10 coding and OASIS documentation
• Leadership experience in a healthcare or home health setting
  
  

Preferred Experience

• OASIS Documentation Certification
• Experience in home health or hospice care
• Strong team collaboration and communication skills
  
  

Required Skills

• Proficiency in ICD-10 coding and sequencing
• Strong understanding of OASIS documentation and regulatory compliance
• Ability to conduct quality audits and clinician education
  
  

Preferred Skills

• Experience in clinical training and staff education
• Knowledge of healthcare quality improvement programs
• Strong analytical and problem-solving abilities
  
  

There are no costs for candidates utilizing our services as our clients pay for all related hiring fees. All ProPivotal job postings are either actual positions we had available at the time of posting and/or are representative of positions we typically fill or expect to fill. If you see a job that interests you, respond to the ad or give us a call so that we can help you find a job you'll love. As one of the area's largest staffing firms, we help 2,500 people find jobs a year so chances are good that we can help you too.

ProPivotal is an equal opportunity employer and considers qualified applicants for employment regardless of race, gender, gender identity, gender expression, age, color, religion, disability, veteran's status, sexual orientation, or any other protected factor.