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Quality Reviewer Atlantic Visiting Nurse

Job in Brick, Ocean County, New Jersey, 08724, USA
Listing for: Atlantic Health System
Full Time position
Listed on 2026-09-12
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 90000 USD Yearly USD 60000.00 90000.00 YEAR
Job Description & How to Apply Below

Quality Reviewer (CRC)

Reports to:

Home Care Director

Duties & Responsibilities:
  • 1. Provides timely review of SOC, ROC and Recertification documentation. Utilizes CRC assessment tool to provide clinical feedback related to OASIS accuracy and POC.
  • 2. Accurately codes chart based on primary and secondary reasons for home care through thorough chart review. Reviews and advances 485 in a timely manner.
  • 3. Demonstrates proficient use of home care information system and decision support software.
  • 4. Oversees utilization of resources for Medicare clients by recommending resources to match patient needs.
  • 5.Provides timely feedback and education to clinical staff regarding OASIS and documentation deficits. Timely notification of manager and assistant manager regarding staff non-compliance. Identifies and reports trends which require staff education.
  • 6. Identifies and reports trends which require staff education.
  • 7. Provides education to clinical staff and intake staff:
    • Develops and implements educational sessions both individually and in team meetings.
  • 8. Participates in agency’s QAPI program:
    • Participates in performance improvement projects.
  • 9. Assists with growing agency business:
    • Cross trains to learn new skills
    • Accepts other assignments to support agency.
  • 10. Attends continuing education to develop proficiency in OASIS review and ICD-10 coding.
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