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Home Health QA Nurse Hybrid Role

2 months ago


Tinley Park, United States Frontier Management (OR) Full time

Job Title/Position: FULL-TIME QUALITY ASSURANCE NURSE (RN or LPN) Pay: $65K - $75K (Negotiable with experience) Benefits: Company paid cellular data, 401k (with match), and paid vacation. Reports To: Director of Quality Assurance WHO ARE WE? At Home Quality Care was founded in 1983 in a rural area 50 miles west of Chicago. We soon became a leading provider of comprehensive home health and non-medical home care services throughout the region. Today, we deliver care with seven branches throughout Illinois, Indiana and Texas and continue to grow. Driven by a simple mission to provide the BEST care for our patients, At Home Quality Care is looking for the BEST professionals to join our growing team Do you love making a difference? Do you want to have the freedom of having a flexible schedule? Then we are your ideal company. Come join us and apply today BRIEF JOB DESCRIPTION: We are looking for a Quality Assurance Nurse (Full time), who is committed and passionate about the home health industry. Our QA Nurse optimizes quality of care across all healthcare departments by undertaking efforts to review clinical competency, ensure regulatory adherence, prevent adverse events, avoid rehospitalizations and promote infection prevention. The right candidate will have strong interpersonal skills to help direct & educate our field clinicians. QUALIFICATIONS of QA Nurse : RN or LPN nurse license Highly skilled in QA and OASIS-E review Ability to navigate and use Axxess (EMR system) is Highly Preferred Strong understanding of home health care & working knowledge of Medicare home health requirements Must have positive and professional skills, excellent communication and interpersonal skills. Must be highly organized. Knowledge of coding and ICD-10 (Highly Preferred) RESPONSIBILITIES of QA Nurse: Review and audit start of care and recertification records to ensure timely and accurate documentation to comply with regulatory requirements. Provides feedback to staff regarding corrections and education to ensure future compliance. Reviews medical and billing records to evaluate utilization of services, quality of care and compliance with Medicare CoPs, CHAP, and state regulations. Analyzes and interprets clinical information in the medical record to ascertain appropriate resource utilization, cost effectiveness and quality of care. Responsible for resolving issues and/or queries related to patient documentation. Knowledgeable of Medicare, Medicare Advantage, Medicaid and VA plan reimbursements. Reviews evaluation of all disciplines to ensure quality driven cost-efficient care plan. Resource for clinical, professional and reimbursement matters for the agency. Knowledge of financial reimbursement systems, PDGM, Case mix, Value Based Purchasing Model is a plus. www.athomeqc.com