Quality Workflow Coordinator: South Pointe Office

Concordia Lutheran Ministries and Affiliates•Canonsburg, PA

3d•Onsite

About The Position

Concordia Visiting Nurses is seeking a Quality Assurance Nurse RN to support their quality assurance and performance improvement efforts. This role will help ensure the agency meets the highest standards of patient care and regulatory compliance. It is an in-office position where the nurse will work closely with clinical and leadership teams.

Requirements

Current, valid Pennsylvania Registered Nurse (RN) license
Minimum of five (5) years of recent nursing experience; home health experience strongly preferred
Strong organizational, communication, and interpersonal skills
Excellent attention to detail and ability to identify areas for improvement
Knowledge of Medicare requirements, home health regulations, and clinical documentation standards preferred
Proficiency with electronic health records and Microsoft Office

Responsibilities

Conducting random patient record reviews to ensure accurate, complete, and compliant documentation
Performing clinical and documentation audits to ensure adherence to Medicare, regulatory, and agency requirements
Reviewing patient care to assess appropriateness, effectiveness, and quality of services provided
Participating in quality assurance activities related to infection control, incident reports, and corporate compliance
Assisting with responses to Additional Development Requests (ADRs), CMS reviews, and other regulatory audits
Managing Medicare appeal requests, including reconsiderations and hearings
Supporting new employee orientation and education related to Medicare requirements, clinical documentation, and regulatory standards
Identifying opportunities for improvement and collaborating with leadership and clinical staff to promote quality patient outcomes
Maintaining knowledge of current home health regulations, Medicare requirements, and quality standards