
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.
Job Qualifications/Experience:
Current NJ RN or PT License
Three Years of Certified Home Care experience
Thorough knowledge of home care regulations and COPs
OASIS and Coding certification desirable
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. Our facilities and sites of care include:
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. Below are just a few of our accolades:
Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:
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Atlantic Health is at the forefront of medicine, setting standards for quality health care in New Jersey, Pennsylvania and the New York metropolitan area. Headquartered in Morristown, NJ, we are a leading non-profit health care system, powered by a passionate workforce of 24,000 team members dedicated to building healthier communities. Atlantic Health serves more than half the state of New Jersey, including 14 counties and 7.5 million people and provides care for the full continuum of health needs across a wide array of settings, including dozens of outpatient and urgent care locations, Atlantic Rehabilitation Institute, Atlantic Health Goryeb Children’s Hospital, Atlantic Visiting Nurse and Atlantic Mobile Health. Our acute care hospitals 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 CentraState Medical Center, Freehold, NJ
We receive awards and recognitions for our extraordinary care and our supportive workplace culture. Below are just a few of our accolades:
• 100 Best Companies to Work For® - Great Place to Work® and FORTUNE® magazine for 16 years
• One of the 100 Best Workplaces for Millennials: Great Place to Work® and FORTUNE® magazine
• America’s Greatest Workplaces in Health Care: Newsweek
• America’s Greatest Workplace for Women, Gen Z and Inclusion and Diversity: Newsweek
• Best Places to Work in Healthcare – Modern Healthcare
• 150 Top Places to work in Healthcare – Becker’s Healthcare
• Best Employers for Workers over 50 – AARP
• Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
• System for Change Award from Practice Greenhealth