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Seeking a dedicated and experienced professional nurse who is responsible for reviewing and evaluating the quality of patient care documentation, assessing compliance with healthcare regulatory standards and identifying opportunities to enhance care delivery. The ideal candidate must possess analytical skills with attention to detail when examining health care documentation ensuring it complies with established guidelines, policies and regulations.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Current unencumbered licensure with the WV Board of Nursing, or appropriate state board where services will be provided, as a professional nurse.
2. Upon hire, will acquire multistate licensure through the enhanced nurse licensure compact (Enlc) within 3 months.
3. Home Health OASIS certification upon hire within one year of hire.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s Degree in Nursing
2. OASIS certification
EXPERIENCE:
1. Three (3) years of health care experience with one year home health experience.
2. Experience in quality improvement, compliance or a related role in healthcare
3. Strong knowledge of healthcare regulations and standards
4. Exceptional analytical, problem solving and decision making skills
5. Ability to utilize and apply EPIC healthcare application
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Analyze and interpret healthcare documentation to identify noncompliance with national and state standards.
2. Review patient medical records to ensure accurate documentation and application of OASIS documentation
3. Conducts audits, reviews, and inspections of healthcare provider documentation to ensure compliance and appropriate application of services.
4. Prepare detailed reports on audit findings, identify trends and professionally communicate findings.
5. Prepare and present reports on quality improvement efforts.
6. Present findings and collaborate with healthcare professionals to improve patient care and outcomes.
7. Collect and analyze data to measure the impact of quality improvement activities.
8. Utilize knowledge of OASIS coding practices.
9. Participates in the education and development of health care teams to enhance understanding and the application of OASIS principles.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
SHC WVUHS Home Care
Cost Center:
392 SHC Access Administration
Top Skills
What We Do
The WVU Health System, which operates under the brand name WVU Medicine, is comprised of 22 member, managed, and affiliated hospitals in West Virginia, Maryland, Ohio, and Pennsylvania. It is West Virginia’s largest healthcare system and largest private employer with more than 2,500 licensed beds, 4,900 providers, approximately 30,000 employees, and more than $5 billion in total operating revenues.
It includes:
• J.W. Ruby Memorial Hospital in Morgantown (flagship), including WVU Medicine Children’s in Morgantown and Fairmont Medical Center in Fairmont;
• United Hospital Center in Bridgeport;
• Camden Clark Medical Center in Parkersburg;
• Berkeley Medical Center in Martinsburg;
• Barnesville Hospital in Barnesville, Ohio;
• Braxton County Memorial Hospital in Gassaway;
• Garrett Regional Medical Center in Oakland, Maryland;
• Harrison Community Hospital in Cadiz, Ohio;
• Jackson General Hospital in Ripley;
• Jefferson Medical Center in Ranson;
• Potomac Valley Hospital in Keyser;
• Princeton Community Hospital in Princeton, including The Behavioral Health Pavilion in Bluefield;
• Reynolds Memorial Hospital in Glen Dale;
• Saint Francis Hospital in Charleston;
• St. Joseph’s Hospital in Buckhannon;
• Summersville Regional Medical Center in Summersville;
• Thomas Memorial Hospital in South Charleston;
• Uniontown Hospital in Uniontown, Pennsylvania;
• Wetzel County Hospital in New Martinsville;
• Wheeling Hospital in Wheeling;
• And five institutes – the WVU Cancer Institute, the WVU Critical Care and Trauma Institute, the WVU Eye Institute, the WVU Heart and Vascular Institute, and the WVU Rockefeller Neuroscience Institute.
The WVU Health System also provides management services to Grant Memorial Hospital in Petersburg.
For more information, visit WVUMedicine.org
