Quality Assurance Nurse

Optimal Care•Jackson, MI

2d•$36 - $42•Remote

About The Position

Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. The Quality Assurance Nurse is responsible for directing the regulatory needs to promote and maintain clinical integrity and regulatory compliance with state and federal regulatory requirements. The Quality Assurance Nurse is also responsible for the development and management of the organization’s quality initiatives and improvement.

Requirements

Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
Current State License as a Registered Nurse
Minimum 3 years of health care management and 2 years of hospice care experience
Demonstrated interpersonal skills, with the ability to communicate effectively
Exhibits working knowledge of regulations and reimbursement in home health care
Proven leadership abilities in staff education
Willing to develop new critical thinking skills
ICD10 coding certification required within one year of hire (preferred at time of hire)

Nice To Haves

BA/BSN preferred
Quality assurance experience preferred
Microsoft Office skills preferred

Responsibilities

Creating organizational awareness of regulatory compliance
Communicating significant findings, problems, & changes related to compliance standards & regulations to the Chief Clinical Officer and other personnel
Reviewing Start of Care (SOC) assessments for thoroughness and accuracy – apply diagnosis codes applicable to the patient’s condition and disease process using ICD-10 coding guidelines and regulations.
Processing re-certifications, death visits and adding orders according to hospice regulations and guidelines in a timely and efficient manner
Assisting with tracking to ensure timely billing and meeting regulatory guidelines
Audit medical records
Managing workflow, identifying problematic sequencing and providing solutions to avoid impact on patient care activities
Assuring clinical notes indicate continuing communication and coordination of services with the physician, other staff and disciplines
Writing orders to ensure staff are available for end of life care
Assisting in the development and design of the QAPI program