Oasis Documentation Specialist (Home Health), RN

Description

At LTM Group, we believe accurate documentation tells the true story of high-quality care. We are seeking a Clinical Documentation Specialist (RN) to join our team in a collaborative, remote role.

In this position, you will review OASIS assessments, partner closely with nurses and therapists, and ensure our bedside clinical documentation is complete, compliant, and accurate. Beyond reviewing, you will serve as a go-to educational resource for clinicians, identifying trends that inform training initiatives and driving quality outcomes across our operations in Ohio, Indiana, Michigan, Texas, and Florida.

Core Responsibilities

Real-Time Documentation Review: Review OASIS assessments prior to finalization to verify completeness, consistency, and alignment with the patient’s clinical and functional status. Leverage OASIS alert and variation reports to identify charts requiring additional review. Ensure documentation clearly supports patient diagnoses and comorbidities.

Clinician Coaching & Collaboration: Partner directly with field nurses and therapists to clarify documentation, explain rationale for changes, and facilitate corrections. Act as an approachable subject-matter expert for day-to-day OASIS questions.

Quality Improvement & Insights: Spot system-wide documentation trends and share actionable insights with clinical managers and leadership. Collaborate on action plans to improve outcome/process measures and participate in QA activities/chart audits.

Education & Growth: Contribute to clinician onboarding and continuing education regarding OASIS best practices and compliant documentation. Stay updated on CMS, state regulatory changes, and industry best practices.

Requirements

Required

• Active, unencumbered Registered Nurse (RN) license (Multistate/Compact license strongly preferred).
• 1–2 years of clinical home health care experience.
• Working knowledge of OASIS assessments and home health clinical documentation.
• Familiarity with CMS home health regulations and willingness to learn state-specific guidelines across covered territories.
• Strong computer literacy and proficiency with EMR systems and standard desktop productivity tools.

Preferred

• Certificate for OASIS Specialist-Clinical (COS-C) designation.
• Prior experience in home health quality assurance (QA) or performance improvement.
• Background in precepting, teaching, mentoring, or coaching clinical staff.