[Hiring] Quality Assurance Nurse @Optimal Care

Role Description

Support clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services. As a Quality Assurance Nurse, you'll play a key role in ensuring patient records are accurate, complete, and aligned with state, federal, and payer requirements while helping uphold the highest standards of clinical documentation and care coordination.

• Review medical records to support accurate coding and documentation practices.
• Manage regulatory processes such as start-of-care reviews and re-certifications.
• Identify opportunities to strengthen workflows and improve outcomes.
• Contribute to QAPI initiatives and support staff education.
• Monitor compliance trends to impact reimbursement accuracy and operational efficiency.

Your expertise will directly impact the continued delivery of high-quality care to patients and families.

Qualifications

• 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, valid driver’s license, and valid automobile insurance coverage.

Requirements

• BA/BSN preferred.
• Quality assurance experience.
• Demonstrated interpersonal skills, with the ability to communicate effectively.
• Exhibits working knowledge of regulations and reimbursement in home health care.
• Proven leadership abilities in staff education.
• Willing to develop new critical thinking skills.
• ICD10 coding certification required within one year of hire (preferred at time of hire).

Benefits

• Mileage Reimbursement.
• Minimum of 3 Weeks Paid Time Off for Full Time.
• Part Time/Per Diem 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.
• And more...