Quality Assurance Specialist (QA RN) - Home Health

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

Buena Vista is dedicated to administering the highest quality of in-home care while encompassing all the needs of our patients and their families.

We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.