Clinical Reviewer

York Hospital; York (ME); Remote; USD 43,000 - 69,000; Part time

Job summary

York Hospital, a community hospital serving Southern Maine and NH seacoast, seeks a part-time Home Care Clinical Reviewer. You will analyze home care documentation, promote accuracy and assist clinical staff with OASIS and regulatory guidelines. The role supports care plans, quality initiatives and coding accuracy.

The ideal candidate holds an RN or PT license in Maine, with OASIS COS-C certification preferred and ICD-10 coding knowledge beneficial. One year of home health experience is required.

Qualifications

• Licensed as RN or Physical Therapist in Maine.
• OASIS Certification (COS-C) preferred but not required.
• ICD-10 coding (HSC-D) preferred but not required.
• One year of clinical home health experience required.

Responsibilities

• Review and approve plans of care for all patients.
• Collaborates with case managers to continuously re-evaluate plans of care.
• Participates in Quality related activities.
• Makes recommendations regarding competency, practice and education needs of the team.
• Collaborates with clinicians to assure accurate ICD-10 coding assignments.

Skills

OASIS knowledge

ICD-10 coding

Clinical documentation

Team collaboration

Education

RN licensure or PT licensure in Maine

Tools

COS-C certification

Job description

Part Time , Day Shift , variable - can be remote

Salary Range: $30.58-$50.11 hourly

At York Hospital, we're more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is to make a positive difference in the lives of one another, our patients and our community by instilling our vision of Loving Kindness for all.

York Hospital, we are a Community. For Life.

The Home Care Clinical Reviewer is responsible for analyzing the accuracy and consistency of home care documentation. This position promotes excellence in the documentation of home care services and supports clinical staff in the understanding ofOASIS, state and federal regulatory guidelines.

Some essential duties include:

• Review and approve plans of care for all patients
• Collaborates with case managers to continuously re-evaluate plans of care
• Participates in Quality related activities
• Makes recommendations regarding competency, practice and education needs of the team
• Collaborates with clinicians to assure accurate ICD-10 coding assignments.

Qualification include licensure as a registered nurse or physical therapist in the state of Maine. OASIS Certification (COS-C)
and ICD-10 coding (HSC-D) are preferred but not required. One year of clinical home health experience required.

YORK HOSPITAL IS AN EQUAL OPPORTUNITY EMPLOYER.