Quality Assurance Nurse

Optimal Care • Jackson, MI

16h • Remote

About The Position

The Quality Assurance Nurse supports clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services. The role reviews patient medical records for accuracy, completeness, and alignment with state, federal, and payer requirements, and helps ensure documentation reflects the care provided and supports effective care coordination. Responsibilities also include supporting accurate coding and documentation practices, managing regulatory processes such as start-of-care reviews and re-certifications, identifying workflow improvements, contributing to QAPI initiatives, supporting staff education, and monitoring compliance trends. The position may travel periodically to clinical sites, patient care locations, or company offices for audits, training, and compliance reviews. This is a remote opportunity for candidates living in Michigan, Ohio, or Indiana, with an office location in Jackson, Michigan. The stated schedule is per diem, Monday through Friday, 8:00 a.m. to 5:00 p.m.

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 experience.
• Minimum 2 years of hospice care experience.
• Reliable transportation, a valid driver’s license, and valid automobile insurance coverage.
• Demonstrated interpersonal skills and the ability to communicate effectively.
• Working knowledge of regulations and reimbursement in home health care.
• Proven leadership abilities in staff education.
• Willingness to develop new critical thinking skills.
• ICD10 coding certification required within one year of hire.

Nice To Haves

• BA/BSN.
• Quality assurance experience.
• ICD10 coding certification preferred at time of hire.

Responsibilities

• Review medical records for accuracy, completeness, and compliance with state, federal, and payer requirements.
• Support accurate coding and clinical documentation practices.
• Manage regulatory processes, including start-of-care reviews and re-certifications.
• Identify opportunities to strengthen workflows and improve outcomes.
• Contribute to QAPI initiatives.
• Support staff education.
• Monitor compliance trends.
• Travel periodically to clinical sites, patient care locations, or company offices to conduct audits, training, and compliance reviews.

Benefits

• Mileage reimbursement.
• Paid time off: minimum of 3 weeks for full-time employees; part-time/per-diem employees also accrue paid time off.
• Medical, dental, and vision insurance.
• HSA and FSA options, including Dependent Care.
• Company-paid short-term disability.
• Company-paid life insurance.
• 401(k) with employer match.
• Pet insurance.
• ID and fraud protection.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree