Quality Assurance Specialist (QA RN) - Home Health

Buena Vista Home Health, Palliative Care & Hospice; Oregon; Hybrid; USD 55,000 - 69,000; Part time

Job summary

Buena Vista Home Health, Palliative Care & Hospice is seeking an experienced OASIS Review Nurse (RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting. This role reviews OASIS assessments and ICD‑10 coding to ensure accuracy, completeness, and alignment with CMS requirements, while collaborating with clinical leaders to improve outcomes.

The ideal candidate has strong OASIS knowledge, Medicare regulations familiarity, and 2+ years of home

Qualifications

• RN with California license and 2+ years in home health.
• Strong knowledge of OASIS (OASIS-E preferred) and ICD-10 coding.
• Understanding CMS CoPs and Medicare regulations.
• Analytical mindset with attention to detail and clinical judgment.
• Effective communication and teamwork with interdisciplinary staff.

Responsibilities

• Prospectively review all OASIS assessments for accuracy and compliance.
• Analyze variation and alert reports to identify gaps and trends.
• Ensure correct ICD-10 coding and sequencing for diagnoses.
• Collaborate with clinicians to clarify documentation issues.
• Review visit utilization for alignment with patient condition and reimbursement.
• Identify under/overutilization and report findings to leadership.
• Communicate trends in OASIS data to leadership.
• Participate in Quality Improvement and Corporate Compliance activities.
• Assist with chart audits and additional reviews as needed.

Skills

RN experience

OASIS knowledge

ICD-10 coding

CMS regulations

Analytical skills

Communication

Team collaboration

Home health nursing

Education

RN license (CA)

Job description

Quality Assurance Specialist (QA RN) Pay Range: $40 - $50 per hour Job Type: Part Time Location: Remote

Buena Vista Home Health, Palliative Care & Hospice (BV) provides positive, life-changing services that have touched the lives of thousands of individuals in the Ventura & Los Angeles Counties.At BV, our culture is nurtured by our core values: Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk, Customer Second, and Ownership . Your growth is important to us. We set individual and team goals to ensure that we continue to grow together and serve our patients & their families at the highest standard.

Job Summary

Buena Vista Home Health is seeking an experienced OASIS Review Nurse (Registered Nurse - RN) to support clinical quality, regulatory compliance, and documentation integrity in a home health setting . This role is responsible for reviewing and ensuring the accuracy, completeness, and consistency of OASIS assessments and ICD‑10 coding , while collaborating closely with clinical and leadership teams to improve outcomes and agency performance.This position is ideal for a detail‑oriented Home Health RN with strong knowledge of OASIS, Medicare regulations, quality assurance, and clinical documentation review .

Key Responsibilities

• Prospectively review all OASIS assessments to ensure accuracy, completeness, and compliance with federal and state home health regulations and Buena Vista Home Health standards
• Analyze OASIS variation and alert reports to identify documentation gaps and trends
• Ensure correct ICD‑10 coding and sequencing , including primary diagnoses and co‑morbidities
• Collaborate with home health clinicians to clarify documentation issues and support appropriate corrections
• Review visit utilization to ensure services align with patient condition, care guidelines, and reimbursement requirements
• Identify potential underutilization, overutilization, or financial risk and report findings to Clinical Supervisor or designee
• Communicate problematic trends in OASIS data, outcomes, and processes to leadership
• Participate in Quality Improvement (QI), performance improvement, and Corporate Compliance activities
• Assist with additional chart audits and clinical documentation reviews as needed

Qualifications & Requirements

• Registered Nurse (RN) with an active California license
• 2+ years of home health nursing experience required
• Strong working knowledge of OASIS (OASIS‑E preferred) and ICD‑10 home health coding
• In‑depth understanding of CMS regulations, Medicare Conditions of Participation (CoPs), and state licensure requirements
• Strong analytical skills with attention to detail and excellent clinical judgment
• Effective communication and collaboration skills with interdisciplinary teams

ABOUT THE COMPANY

Buena Vista Home Health is a subsidiary of the Pennant Group network with 300+ locations throughout the country. We offer the best of both worlds - The backing and stability of a proven healthcare "giant", with the permission to operate as locally as if it were our own business.What makes us unique besides our culture of high performers and exceptional care? At Buena Vista Home Health, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. We offer the only all-in-one approach to post-hospital healthcare services in Ventura County and the San Fernando Valley . We operate with the Core Values as our guide:

• Celebration
• Accountability
• Passion for Learning
• Love One Another
• Intelligent Risk Taking
• Customer Second
• Ownership

The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at