Location & Practice Overview

This Registered Nurse position is based in San Jose, California, within a Medicare-certified home health agency. The practice delivers skilled services to eligible patients in their residences, with clinical documentation supporting the coordination and evaluation of care. The RN Documentation Specialist works within this home health model, focusing on assessment records and the consistency of clinical information used by the agency.

Practice Type Proprietary home health agency
Primary Location San Jose, CA
Care Delivery Model Skilled home health services
Position Focus OASIS assessment documentation and clinical record integrity

Responsibilities

  • Review completed OASIS assessments for completeness, clinical consistency, and alignment with applicable home health documentation requirements.
  • Validate ICD-10 diagnosis coding and sequencing against the conditions documented in each patient’s clinical record.
  • Identify missing, inconsistent, or unclear assessment information and coordinate corrections with the responsible field clinicians.
  • Examine visit utilization patterns and communicate potential discrepancies to clinical management.
  • Conduct inter-rater reliability visits to assess consistency in OASIS interpretation and scoring among clinical team members.
  • Participate in quality improvement and compliance activities related to assessment accuracy and documentation standards.

Maintain familiarity with relevant changes to home health assessment and reporting requirements.

Qualifications & Requirements

Candidates should be able to review clinical records carefully, recognize inconsistencies, and communicate documentation corrections clearly with clinical colleagues.

Required License
Active California Registered Nurse (RN) license in good standing
Required Experience
1–2 years of clinical home health experience
Clinical Knowledge
Working knowledge of OASIS assessments and ICD-10 diagnosis coding
Regulatory Knowledge
Familiarity with applicable federal home health requirements and California nursing licensure standards
Certification & Transportation
Current American Heart Association (AHA) CPR certification; valid driver’s license and access to a reliable, insured vehicle for required field visits
Preferred Credentials
Certified OASIS Specialist–Clinical (COS-C) and/or an OASIS home health ICD-10 coding certification

Compensation & Benefits

The position offers per-visit compensation with additional employment benefits and the possibility of future full-time status.

  • Compensation: $110–$130 per visit
  • Mileage reimbursement available for patient-to-patient travel
  • Paid sick days and paid bereavement leave
  • Referral bonus
  • Opportunity to transition to full-time employment based on performance

Schedule & Work Environment

Employment Arrangement Per-diem with part-time flexibility
Work Organization Independent prioritization of documentation review tasks with coordination as needed
Work Mix Clinical record review combined with periodic inter-rater reliability field visits
Travel Requirement Valid driver’s license and reliable insured vehicle required for field visits
Supervision Style Suitable for a nurse who manages assigned tasks with attention to detail and limited day-to-day oversight

Patient Population & Clinical Setting

The agency serves homebound patients who receive skilled home health services in their residences. The patient population includes individuals transitioning home after a hospital or other facility stay, as well as patients whose ongoing conditions require intermittent skilled nursing or therapy under an authorized plan of care.

Care Location Patient residences rather than a continuously staffed inpatient unit
Typical Pathways Post-facility transition and intermittent skilled care under a plan of care
Clinical Context Records reflect health status, care needs, and progress during the home health episode
Relevance to Role Assessment findings and supporting documentation must present a clinically consistent picture of the patient

Clinical Focus & Key Services

The clinical focus of this position is the reliability of assessment information used to evaluate home health patients and document their care needs. OASIS records provide structured information about patient status and outcomes, while diagnostic coding connects documented conditions with the clinical record.

Assessment Integrity Consistent and complete OASIS information
Diagnostic Accuracy Alignment between documented conditions and ICD-10 coding
Quality Reporting Reliable clinical data for applicable home health outcome measures
Care Planning Support Clear assessment records that help the care team understand the patient’s documented needs

Role Highlights

This role may appeal to an RN who values structured clinical review, careful evaluation of patient records, and participation in home health quality processes. It combines nursing knowledge with analytical work while retaining periodic contact with field-based clinical practice.

  • Specialized nursing pathway focused on assessment documentation and clinical quality rather than a conventional continuous field nursing caseload
  • Direct communication with field clinicians when records need clarification
  • Contribution to consistency in OASIS interpretation across the clinical team
  • Per-diem structure with part-time flexibility
  • Potential transition to full-time employment based on performance

About Premier Home Health Providers Inc.

Premier Home Health Providers Inc. is a proprietary home health agency based in San Jose, California. According to the employer-provided information, the organization has been Medicare-certified since 2010 and delivers skilled services to patients receiving care at home. Its service offerings include skilled nursing, physical therapy, occupational therapy, speech-language pathology, medical social services, and home health aide services. These services support patients who need clinical assistance and related care in a residential setting.

Organization Type Proprietary home health agency
Medicare Certification Since 2010
Services Skilled nursing, physical therapy, occupational therapy, speech-language pathology, medical social services, and home health aide services
Office Address 1095 Bird Avenue, Suite 4, San Jose, CA 95125

Frequently Asked Questions

Is this primarily a field visiting nurse position?
No. The core work is review of OASIS assessments, ICD-10 coding accuracy, and documentation integrity. Inter-rater reliability visits with clinical staff are part of the role, but the position is not structured as a continuous direct-care caseload.
How is “per visit” defined for compensation?
Pay is stated as $110–$130 per visit. The posting does not further define what constitutes a billable visit for documentation-review work; candidates should clarify scope and volume expectations with the employer during the hiring process.
Do I need prior OASIS certification to apply?
COS-C and OASIS Home Health ICD-10 coding certification are listed as preferred, not required. Working knowledge of OASIS assessments and ICD-10 coding is required, along with 1–2 years of clinical home health experience.
Will I need to travel regularly?
Periodic field travel is required for inter-rater reliability visits. Candidates must have a valid driver’s license and a reliable, insured vehicle. Mileage reimbursement is available for patient-to-patient travel.
Can this role become full-time?
Yes. The agency notes the ability to convert to full-time employment based on performance for candidates who are interested.
What computer skills are expected?
Proficiency with computer systems and electronic health records is expected for documentation review work. The posting does not name a specific EHR platform.

Registered Nurse – OASIS Documentation in San Jose, CA

Premier Home Health Providers Inc. offers an opportunity for a Registered Nurse with 1–2 years of home health experience to specialize in assessment documentation quality. The position combines structured OASIS record evaluation, diagnostic coding review, and communication with clinicians to resolve inconsistencies in patient records. Compensation is $110–$130 per visit, with a per-diem arrangement and mileage reimbursement for qualifying travel. An active California RN license, working knowledge of OASIS and ICD-10, and current AHA CPR certification are required. The role suits nurses interested in clinical documentation accuracy and home health quality processes.

Career Opportunities for Registered Nurses in San Jose, CA

Experience in home health nursing can provide a foundation for developing expertise in clinical documentation review, assessment consistency, and quality assurance. This position offers an opportunity to apply practical nursing knowledge to the evaluation of structured patient records and the interpretation of clinical information. Familiarity with OASIS assessments, diagnostic coding, and communication across clinical teams is particularly relevant to this career direction. For an RN considering a move toward documentation integrity or home health quality functions, the role provides exposure to processes that connect bedside assessment, clinical records, and organizational quality standards.

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