Local Contract Nurse RN - Utilization Review

Custom Healthcare Solutions is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Marlton, New Jersey.

Job Description & Requirements

Specialty: Utilization Review

Discipline: RN

Duration: 52 weeks

40 hours per week

Shift: 8 hours, days

Employment Type: Local Contract

Review of Home Health OASIS documentation tool and other necessary clinical documentation to ensure accuracy and completeness. Works with Case Managers on the revision and corrections required and coordinates with managers to ensure completion.

8am-4:30pm

Temp-to-perm. 6-8 weeks of temp. $5,000 sign-on once perm.

week 1: Monday and Friday

week 2: Monday, Thurs and Friday

Every 5th weekend required (non-negotiable)

Rate based on experience. Starting around $90K/year

Duties

Analyzes and interprets clinical information in the OASIS and medical record to ascertain appropriate documentation, resource utilization, quality of care and cost effectiveness.

Provides clinical analysis and oversight of OASIS data entry. Reviews clinical record data with clinician to determine accurate and appropriate diagnoses. Can review/revise Home Health Plan of Care (485) and OASIS for consistency.

Responsible for overall timely submission of OASIS data in accordance with federal regulations.

Liaison for the Home health Billing Office in matters related to OASIS and PDGM reimbursement issues.

Acts as OASIS resource person for clinical and supervisory staff.

Assures that all OASIS data entered is correct and accurate in sequence, date and content. Refers records to clinical staff that may require clarification or additional information to accurately assign codes.

Skills

3 years of RN, Must be NJ Licensed

BLS via AHA

Coding Experience preferred; Oasis Experience preferred

Bachelor’s degree preferred

HCSD or BCHH-C certification preferred

OASIS (COS-C/HCS-O) certification preferred

Join our team as a Registered Nurse where your expertise will make a significant impact on the lives of our patients!

Please read the entire job description prior to applying and made sure the schedule works for you.