Quality Assurance (QA) Nurse

Breakthrough Healthcare•Maryland Heights, MO
•Remote

About The Position

Breakthrough Healthcare is seeking a fully remote Quality Assurance Nurse (RN) for its Medicare-certified, Joint Commission–accredited Home Healthcare division. The role is approximately 25 hours per week and focuses on supporting clinical quality, accurate documentation, and high-quality home-health care. The nurse partners with the Director of Nursing, Nurse Educator, clinicians, intake and operations teams, and leadership to strengthen care processes and patient and family experience. The position reviews clinical documentation and OASIS assessments, coaches clinicians on documentation and Medicare home-health standards, and supports clinical coordination and visit scheduling. It also contributes to staff education, quality improvement and QAPI activities, and survey readiness, while protecting patient privacy and upholding HIPAA, Medicare, and agency standards. The role uses Axxess Home Health to support quality workflows, OASIS review, and documentation processes.

Requirements

  • Active, unrestricted RN license.
  • At least two years of direct home-health field experience as a staff nurse.
  • Hands-on experience with OASIS, including SOC, ROC, recertification, follow-up, and discharge, as well as visit documentation and plan-of-care review.
  • Strong knowledge of Medicare home-health documentation, plans of care, orders, and clinical records.
  • Experience with home-health coding, including ICD-10-CM and PDGM.
  • Experience with Joint Commission readiness, Medicare Conditions of Participation, QAPI, and clinical audits.
  • Excellent written communication, sound professional judgment, and a collaborative coaching style.
  • Ability to work independently, stay organized, and communicate reliably in a remote setting.
  • Commitment to compassionate care, privacy, teamwork, and continuous improvement.

Nice To Haves

  • Missouri RN license or multistate compact privilege.
  • HCS-D credential.
  • Experience using Axxess Home Health for clinical records, QA workflows, or OASIS review.
  • Experience educating, mentoring, or orienting home-health clinicians.
  • Experience supporting clinical scheduling, care coordination, or interdisciplinary operations.

Responsibilities

  • Review clinical documentation and OASIS assessments for accuracy, completeness, and consistency.
  • Coach clinicians on documentation, care-plan alignment, OASIS, orders, and Medicare home-health standards.
  • Support clinical coordination and visit scheduling to keep patient care timely, organized, and responsive.
  • Collaborate with intake, operations, revenue-cycle, and clinical teams to support smooth care transitions.
  • Use Axxess Home Health for quality workflows, OASIS review, and documentation processes.
  • Partner with the Nurse Educator to create staff education, orientation support, and practical clinical resources.
  • Participate in quality improvement, QAPI activities, and survey readiness.
  • Protect patient privacy and uphold HIPAA, Medicare, and agency standards.

Benefits

  • Meaningful part-time work of approximately 25 hours per week, fully remote.
  • Supportive leadership team that values clinical experience, thoughtful ideas, and employee input.
  • Opportunity to mentor, encourage, and elevate fellow clinicians.
  • Opportunity to contribute to a growing agency investing in modern systems, quality improvement, and stronger care coordination.
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