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About the role
Key responsibilities & impact- Perform clinical review and validation of OASIS assessments for contracted home health agency clients
- Use Mosai’s AI-assisted review platform and client electronic medical records
- Independently verify every platform-generated finding against source documentation
- Review OASIS assessments at Start of Care, Resumption of Care, Recertification, Transfer, and Discharge
- Validate responses against the current OASIS data set, CMS Guidance Manual, applicable skip logic, and CMS Quarterly OASIS Q&As
- Check internal consistency of OASIS responses and supporting records, especially Section GG, cognitive and behavioral items, and case-mix-impacting M-items
- Apply PDGM requirements, including clinical grouping, functional impairment level, comorbidity adjustment, and LUPA exposure
- Review ICD-10-CM diagnosis assignments against official guidelines and home health sequencing conventions where credentialed
- Escalate coding or OASIS conflicts to Mosai clinical operations
- Produce written, compliant, non-leading recommendations with supporting documentation, applicable guidance, and clinical rationale
- Enter recommendations through client-defined channels, meet turnaround commitments, and track recommendations to closure
- Work across multiple client agencies and EMR platforms
- Complete client-required onboarding and access provisioning
- Protect PHI and never enter, alter, or fabricate clinical documentation
- Maintain required review accuracy, participate in calibration exercises, and report false positives, missed findings, and outdated guidance references
- Route questions, disagreements, and escalations through Mosai clinical operations and client services
Requirements
What you’ll need- Active, unrestricted Registered Nurse (RN) license required in the state or states necessary to support assigned client work
- Associate’s degree in Nursing required
- Current COS-C (Certificate for OASIS Specialist – Clinical) or HCS-O (Home Care Clinical Specialist – OASIS) certification required at time of hire
- Minimum of 3 years of clinical experience in Medicare-certified home health, including hands-on completion or review of OASIS assessments
- Hands-on experience with at least one major home health EMR, such as Homecare Homebase, WellSky, Axxess, or KanTime
- Working knowledge of PDGM, HIPPS and case-mix assignment, LUPA thresholds, CMS Conditions of Participation, and OASIS-based quality measures
- Ability to critically evaluate AI-generated findings and disagree with the platform when unsupported by the record
- Strong written communication, high attention to detail, and ability to work independently while meeting daily throughput targets
- Ability to access and use protected health information according to HIPAA minimum necessary requirements and applicable Business Associate Agreement
- BSN preferred
- Multi-state RN licensure or eligibility for licensure in additional states strongly preferred, with Nurse Licensure Compact participation preferred
- HCS-D certification preferred for ICD-10 coding review; BCHH-C or COQS considered as equivalents
- Dedicated OASIS review, QA, or clinical audit experience preferred
- Prior outsourced, vendor, or multi-client review environment experience preferred
- Hands-on experience with two or more major home health EMR systems strongly preferred
- Experience with clinical software, decision support, or AI-assisted review tools preferred
Benefits
Comp & perks- Hybrid work arrangement with remote or office setting
- Secure, private workspace and reliable internet connection for remote work
- Occasional travel for training or team meetings; no client site visits required
- Equal opportunity employment
- Disability accommodations available
- E-Verify employment eligibility verification