• Quality Review Nurse (RN)

    Job Location
    US-FL-Vero Beach
    Regular Full-Time
    Work Days
    Mon - Fri
    Work Hours
  • Overview

    The VNA 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 join our team of passionate and skilled professionals! By choosing to work for the VNA, you would be working with an agency that has been voted ‘Best Place to Work’ for 7 years in Indian River County because of the benefits we offer our associates, such as:

    • Competitive pay 
    • Accrue up to18 paid days off in your first year, 6 observed holidays
    • up to 90% coverage of health insurance costs
    • Onsite, no-cost wellness clinic staffed by a VNA ARNP
    • Tuition reimbursement
    • Free CEU credits
    • Several local and national discounts

    The VNA is seeking a full time Quality Reviewer. This position supports the 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. Integrates and demonstrates the core values of the VNA in all aspects of work 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 a 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



    • At least one year recent Home Health experience related to OASIS-C 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 license in the state of Florida
    • Current BLS CPR certification


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