Quality Compliance RN
About The Position
The Quality Compliance RN is responsible for conducting clinical documentation reviews, medical record audits and data analysis to ensure compliance with hospice regulatory and accreditation standards. This role coordinates documentation for admissions, recertifications to support patient eligibility, and adherence to state/federal guidelines. The Quality Compliance RN contributes to performance improvement through timely hospice quality reporting, patient event, and fall reviews, Consumer Assessment of Healthcare Providers and Systems (CAHPS) follow up and clinical documentation audits.
Requirements
- RN
- Minimum two years of recent work experience as a professional nurse, preferably in a hospice setting and medical record review
- Demonstrates expertise in nursing practice and terminal care, including pain and symptom management.
- Able to communicate effectively with clinical staff, management, and interdisciplinary teams.
- Able to work independently and manage multiple tasks with efficiency and accuracy.
- Proficient in auditing clinical documentation using complex analysis and prepares clear reports with findings and recommended follow-up actions.
- Able to identify discrepancies in data and draw inferences from complex clinical and compliance information.
- Possesses current knowledge of hospice regulations, Medicare Conditions of Participation, and Local Coverage Determinations (LCDs).
- Proficient in using electronic health records and Microsoft Office applications (Word, Excel, Outlook).
Responsibilities
- Conducting clinical documentation reviews
- Medical record audits
- Data analysis to ensure compliance with hospice regulatory and accreditation standards
- Coordinates documentation for admissions
- Coordinates documentation for recertifications to support patient eligibility
- Coordinates documentation for adherence to state/federal guidelines
- Contributes to performance improvement through timely hospice quality reporting
- Patient event reviews
- Fall reviews
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) follow up
- Clinical documentation audits
Benefits
- medical
- dental
- vision
- disability
- life insurance
- 401k with a company match
- 6 paid holidays
- 17 days PTO the first year
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
101-250 employees
