Clinical Reviewer - Home Health Job at Jet Health, Inc., Fort Worth, TX

OGVLQTRPRDZtYTNWcCtocU1lWFBUeFBmaUE9PQ==
  • Jet Health, Inc.
  • Fort Worth, TX

Job Description

Description

Jet Health, Inc is seeking an experienced Home Health Clinical Reviewer to be responsible for reviewing clinical documentation to ensure compliance with Medicare guidelines, company policies, and regulatory standards. This role supports quality improvement efforts by verifying the accuracy, completeness, and timeliness of documentation submitted by field clinicians. The Clinical Reviewer plays a critical role in maintaining the integrity of patient care records and ensuring timely reimbursement.

Key Responsibilities

  • Review OASIS assessments, Plan of Care, and clinical documentation for accuracy, consistency, and compliance.
  • Validate appropriate ICD-10 coding and ensure documentation supports medical necessity and skilled services.
  • Work closely with clinicians to provide education and feedback on documentation improvements and best practices.
  • Monitor documentation for adherence to regulatory and payer-specific requirements (e.g., CMS, Medicare, Medicaid, private insurers).
  • Ensure timely submission of documentation to support billing and avoid delays in reimbursement.
  • Participate in quality assurance and performance improvement (QAPI) initiatives.
  • Provide input and support for internal audits, surveys, and compliance reviews.
  • Collaborate with intake, billing, and clinical management teams to resolve documentation-related issues.

Requirements

  • Registered Nurse (RN) or Licensed Practical Nurse (LPN) with an active and unrestricted license (RN preferred).
  • Minimum 2 years of clinical experience in home health or a related healthcare setting.
  • Experience with OASIS and Medicare home health regulations required.
  • Familiarity with electronic medical records (EMR) systems; experience with systems like Homecare Homebase, WellSky (Kinnser), or MatrixCare is a plus.
  • Detail-oriented with strong analytical and critical thinking skills.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team in a fast-paced environment.

Preferred Qualifications

  • Certified Oasis Specialist – Clinical (COS-C) or other relevant certification.
  • Previous experience in quality assurance, utilization review, or compliance in home health.

Benefits For Full Time Employees

  • Medical, Dental, and Vision insurance coverage
  • Short- and Long-Term Disability insurance
  • Accident, Critical Illness, and Cancer Insurance
  • PTO - 80 hours after 60 days
  • 6 paid holidays and 1 floating holiday
  • 401k retirement savings plan w/discretionary company match
  • Company-paid life insurance
  • Mileage reimbursement
  • Competitive compensation package

Job Tags

Holiday work, Full time, Temporary work,

Similar Jobs

BarkandBoarding

Dog Daycare Attendant Job at BarkandBoarding

 ...Boarding Manassas is searching for fun & responsible pet lovers for daycare attendants! Bark + Boarding has been serving the DC metro area...  ...attendants work at our Manassas location and care for the dogs staying at our facility. Their duties include but are not limited... 

Compass Group, North America

FOOD TRANSPORTER/DELIVERY DRIVER (PART TIME) Job at Compass Group, North America

Chartwells K12+ We are hiring immediately for a part time **FOOD TRANSPORTER/DELIVERY DRIVER** position.+ **Location:** Barrington Public Schools - 283 County Road, Barrington, RI 02806. _Note: online applications accepted only._+ **Schedule:** Part time; Monday through... 

The Dog Stop Trussville (TDS-0010)

Dog Bather Job at The Dog Stop Trussville (TDS-0010)

Are you looking for a fun work environment? Something new every day? The Dog Stop is in need of enthusiastic bathers. Bathing is offered seven days a week, so weekends are a requirement, and applicants should be willing to work 5 days per week. Duts Inude: ...

Cleveland Clinic

Pediatric Neurosurgeon Job at Cleveland Clinic

 ...Neurological Institute together with the Children's Institute is seeking a Board Certified or Board Eligible, fellowship trained Pediatric Neurosurgeon to help build and grow the pediatric neurosurgery program at the main campus in Cleveland, Ohio. The ideal candidate will be... 

Acosta

Regional Retail Store Manager Job at Acosta

 ...As the Regional Retail Store Manager, you will lead the strategic and operational success of multiple retail locations across the region. This high-impact role is ideal for a results-driven leader who thrives in a fast-paced, customer-focused environment and is passionate...