Job Posting for Quality Assurance Nurse (LVN) at Sunglo Home Health Service Inc.
Job Summary
QUALITY ASSURANCE
Works with Billing Department/Office Manager on the undropped list to ensure that documentation supports claim for payment.
Gives appropriate feedback to staff on individual basis at least weekly in an effort to maintain standards on documentation.
Informs Supervisor and nursing supervisory staff on a regular basis of problem areas in terms of documentation.
Participates in weekly case conferences and shares Recert audit findings with staff
Audits charts for Medicare denials and ADR’s prior to submitting chart to Supervisor.
Reviews charts for quality of care rendered; i.e. orders followed, appropriate utilization of visits, appropriate contacts with physician and other disciplines. Will be rated by supervisor based on findings.
Reviews SOC’s, Recerts, ROC’s as soon as received from Coders. Distributes packets to appropriate RN for signatures and corrections.
Reviews packets received from RN to confirm signatures, dates and corrections were completed and removes all stickies’ before sending to Medical Records.
Reviews all discharged charts for completeness before Discharge summary is sent to MD within 48 hours of discharge.
Obtains the Monthly Recert List from Data, to schedule chart audits
Schedules chart audits 2 weeks before RN will do Recert, using Recert Audit Form
Completes the Recert Audit form by auditing the entire chart and places form in the RN Recert packet.
Audits daily notes for proper documentation and timely notification to field staff
Audits Med updates for completion; telephone orders for contents and frequency verification.
For all visit increases, an Additional Visit Request Form will be completed and faxed to Administrator for approval before visits are done. Audits for abbreviations on the “Do not Use Abbreviations” list.
Audits therapy notes for specific orders for treatment “NOT” “modalities as needed”
Follows up with new employees on proper documentation and timely submittal of paperwork and informs Orientation Department of further training required.
Follows up on corrections by using the Deficiency forms after signed and submitted by staff
Submits a Daily QA report to Supervisor for DOPS/Administrator production review.
OTHER DUTIES
Continually strives to improve knowledge within their field.
Functions as a staff nurse at the direction of the Director of Professional Services when the need arises.
Collects and files in specified Binders all Hospitalizations, Infections, Incidents and falls
Maintains Lab log for all lab documentation especially PT/INR, and Dilantin Level and MD follow-up.
Job Type: Full-time
Pay: $15.00 - $22.00 per hour
Standard shift:
Day shift
Supplemental schedule:
On call
Weekly schedule:
Monday to Friday
Rotating weekends
Ability to Relocate:
Harlingen, TX 78550: Relocate before starting work (Required)
Work Location: In person
Salary.com Estimation for Quality Assurance Nurse (LVN) in Harlingen, TX
$72,158 to $83,712
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