Registered Nurse (RN), Quality Assurance/Utilization, Home Health and Hospice, Per Diem, Days
Company: PIH Health
Location: Whittier
Posted on: January 23, 2023
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Job Description:
PIH Health is a nonprofit, regional healthcare network that
serves approximately 3 million residents in the Los Angeles County,
Orange County and San Gabriel Valley region. The fully integrated
network is comprised of PIH Health Hospital - Whittier, PIH Health
Hospital - Downey and PIH Health Good Samaritan Hospital, 27
outpatient medical locations, a multispecialty medical (physician)
group, home healthcare services and hospice care, as well as heart,
cancer, women's health, urgent care and emergency services. The
organization is recognized by Watson Health as one of the nation's
Top Hospitals, and College of Healthcare Information Management
Executives (CHIME) as one of the nation's top hospital systems for
best practices, cutting-edge advancements, quality of care and
healthcare technology. PIH Health is certified as a Great Place to
Work TM. -Performs comprehensive review of the Home Health and
Hospice Prospective Payment System, including the Outcome and
Assessment Information Set (OASIS), Home Health Plan of Care and
Strategic Healthcare Programs (SHP) results, and Hospice Item Set
(HIS) at the highest level of accuracy and productivity. Presents
the findings and recommendations to the staff at all levels as well
as senior management. Able to perform utilization review of the
Electronic Health Record (EHR) for current and discharged patients.
- -The Quality Assurance/Utilization Review Registered Nurse (RN)
will verify appropriate documentation, compliance, quality of care
provided, ensure adherence to the plan of care, and identify
document deficiency trends in a proactive approach. The Quality
Assurance/Utilization Review RN will serve as a role model,
consultant, auditor and OASIS/HIS expert to staff in PIH Health
Home Health and Hospice auditing charts for clinical oversight and
compliance and adherence to the Medicare guidelines. The Quality
Assurance/Utilization Review RN is responsible for continuous
assessment of agency processes to insure compliance with government
regulations/accreditation standards, acts as a resource to the home
care clinicians and the leadership team regarding standards,
policies, and regulations.
Required Skills
Required ExperienceRequired: -
Keywords: PIH Health, Whittier , Registered Nurse (RN), Quality Assurance/Utilization, Home Health and Hospice, Per Diem, Days, Healthcare , Whittier, California
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