RN Quality Assurance Clinical Manager, Home Health

CenterWell • Brunswick, GA

1d • Onsite

About The Position

Become a part of our caring community and help us put health first The RN QA Clinical Manager will play a critical role in ensuring clinical documentation and services comply with all applicable regulations, standards, and best practices. This role reviews patient records, audits clinical documentation, OASIS assessments, and provides feedback to staff. This role supports quality improvement initiatives to ensure the highest standards of patient care and regulatory compliance.

Requirements

• Associate degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred.
• Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of Georgia.
• Proof of current CPR card and/or BLS certification.
• Valid driver’s license, auto insurance and reliable transportation.
• Experience in quality assurance, clinical auditing, and compliance required.
• Home health experience is required.
• Knowledge of Medicare Conditions of Participation (COP) for home health is required.
• OASIS experience is required.
• Must have experience with the following OASIS assessment types: starts of cares (SOC), resumption of cares (ROC), re-certifications, discharges from care (DC), and transfer of cares.
• CMS PDGM experience is required.
• Value-based purchasing experience is required.
• Detail-oriented with excellent analytical and problem-solving skills.
• Excellent communication, facilitation, and interpersonal skills.

Nice To Haves

• Management and people leadership experience is preferred.
• OASIS certification (HCS-O, COQS, and/or COS-C), preferred.
• Homecare Homebase (HCHB) experience is preferred.

Responsibilities

• Reviews and audits clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards.
• Collaborates with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies.
• Assists with OASIS accuracy and validation; ensures data entry aligns with care plans and physician orders.
• Monitors outcome-based quality indicators and assists in developing performance improvement plans.
• Participates in quality improvement projects, internal audits, and regulatory survey readiness.
• Tracks and reports quality metrics, trends, and areas for improvement to leadership.
• Provides staff education and support on compliance issues and documentation standards.
• Stays current on federal and state regulations related to home health care and quality assurance.

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

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