Quality Assurance Nurse
About The Position
Support clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services. The Quality Assurance Nurse ensures patient records are accurate, complete, and aligned with state, federal, and payer requirements, helping uphold high standards of clinical documentation and care coordination. The role involves reviewing medical records, supporting accurate coding and documentation practices, managing regulatory processes such as start-of-care reviews and re-certifications, and identifying opportunities to strengthen workflows and improve outcomes. As a member of the quality team, the nurse contributes to QAPI initiatives, supports staff education, and monitors compliance trends. This work impacts reimbursement accuracy, operational efficiency, and the delivery of high-quality care to patients and families. This is a remote opportunity for candidates living in Michigan, Ohio, or Indiana. The nurse may travel periodically to clinical sites, patient care locations, or company offices for audits, training, and compliance reviews. The stated per diem schedule is 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 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.
- ICD-10 coding certification required within one year of hire; preferred at time of hire.
Nice To Haves
- BA/BSN.
- Quality assurance experience.
- ICD-10 coding certification 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 and 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.
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
