Registered Nurse (RN)- Outcomes Coordinator-OASIS, Full Time, Day at Prisma Health summary:
The Registered Nurse (RN) Outcomes Coordinator provides coding and utilization analysis for Homecare patients, ensuring accurate clinical documentation while promoting Prisma Health's values. This role involves reviewing OASIS and Plan of Care for compliance and collaborating with clinical staff to enhance patient outcomes. Primarily remote, the position demands strong analytical skills and a background in post-acute care, with a focus on education and compliance.
Inspire health. Serve with compassion. Be the difference.
Job Summary
This position provides coding and utilization analysis for Homecare patients and clinical staff. This job requires analytical skills and close attention to detail. All team members are expected to be knowledgeable and compliant with Prisma Health's values of compassion, dignity, excellence, integrity and teamwork.
*This is primarily a remote position*
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Responsible for timely administrative review of clinical records providing OASIS and Plan of Care review for accuracy and congruency, and clinical documentation review to ensure patients admitted to the Agency meet admission criteria according to regulatory, payer and admission policies. Maximizes use of software applications to complete the review.
Collaborates with team members and providers to ensure accurate clinical record documentation requirements and development of effective Plans of Care. Elevates issues appropriately.
Prepares comprehensive reports of clinical record review analysis including OASIS documentation/practice patterns that may result in potential adverse patient outcomes, unfavorable percentage rates in the Quality of Patient Care process, outcome and utilization measures.
Provides education to team members for clinical record documentation requirements.
Performs other duties as assigned.
Supervisory/Management Responsibilities
Minimum Requirements
Education - Graduate of an accredited school of Nursing program approved by the South Carolina State Board of Nursing. Bachelor's degree in Nursing preferred.
Experience - Two (2) years post-acute care experience. Medicare Certified Home Health experience preferred.
In Lieu Of
Required Certifications, Registrations, Licenses
Licensed to practice as a Registered Nurse in South Carolina.
Current OASIS certification preferred.
Knowledge, Skills and Abilities
Working knowledge of Microsoft applications (e.g., Word, Excel)
Knowledge of clinical electronic health records
Ability to maintains professional and technical knowledge by attending educational sessions and reviewing professional publications.
EPIC experience preferred.
Work Shift
Day (United States of America)
Location
Baptist
Facility
1521 Home Health - Midlands
Department
15217400 Home Nursing
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Keywords:
Registered Nurse, Outcomes Coordinator, OASIS, Homecare, Clinical Documentation, Healthcare, Patient Outcomes, Nursing, Utilization Analysis, Remote RN
