[Hiring] Quality Reviewer @Atlantic Health System

Role Description

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

Benefits

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance.
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance

Company Description

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members.

• Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation.
• Facilities and sites of care include:
  • Atlantic Health Morristown Medical Center, Morristown, NJ
  • Atlantic Health Overlook Medical Center, Summit, NJ
  • Atlantic Health Newton Medical Center, Newton, NJ
  • Atlantic Health Chilton Medical Center, Pompton Plains, NJ
  • Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
  • Atlantic Health Goryeb Children's Hospital, Morristown, NJ
  • Atlantic Health CentraState Healthcare System, Freehold, NJ
  • Atlantic Medical Group
  • Atlantic Visiting Nurse
  • Atlantic Mobile Health
  • Atlantic Rehabilitation
• We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.
• We have received awards and recognition for the services we have provided to our patients, team members and communities.