Quality Assurance LVN – Advanced Care at Home (ACAH)

American River Home Care

Pay Range: $35.00–$45.00 per hour, based on experience
Schedule: Monday–Friday, 8:30 AM–5:00 PM
Work Setting: In-office, with the potential to transition to a hybrid schedule

American River Home Care is seeking an experienced and detail-oriented Licensed Vocational Nurse (LVN) to join our Advanced Care at Home (ACAH) team as a Quality Assurance LVN.

This is a great opportunity for an LVN who understands clinical documentation, enjoys reviewing the details, and wants to use their nursing experience in a quality-focused role with a consistent Monday–Friday schedule.

About the Role

The ACAH Quality Assurance LVN plays an important role in ensuring that physician orders, nursing documentation, and patient plans of care are accurate, complete, and aligned.

Working closely with our Clinical Educator and clinical leadership team, you will review physician orders and nursing documentation for patients enrolled in our Advanced Care at Home program. You'll help identify documentation gaps, support timely corrections, recognize trends, and contribute to our ongoing quality improvement efforts.

This position is especially focused on documentation involving physician orders, plans of care, wounds, IV therapy, lines, tubes, and drains.

What You'll Do

• Review physician orders for accuracy, completeness, signatures, effective dates, and timely processing.

• Review nursing documentation to ensure it supports and aligns with the patient's active plan of care.

• Compare documented care with physician orders and identify inconsistencies or missing documentation.

• Review documentation related to lines, tubes, drains, wounds, wound care, and IV administration.

• Confirm wound care documentation reflects the ordered frequency, products, and treatment approach.

• Confirm IV documentation accurately reflects ordered medications, rates, and frequencies.

• Communicate documentation or order discrepancies to clinicians, the Clinical Educator, and clinical leadership for follow-up.

• Identify recurring documentation trends and opportunities for staff education.

• Assist with chart audits, quality assurance projects, and QAPI data collection and reporting.

• Support accreditation readiness and survey preparation, including CHAP requirements.

• Assist with the development and revision of policies and procedures related to quality and documentation compliance.

• Maintain patient confidentiality and HIPAA compliance at all times.

What We're Looking For

Required Qualifications:

• Current, unrestricted California Licensed Vocational Nurse (LVN) license

• Graduate of an accredited vocational nursing/LVN program

• Current CPR/BLS certification

• Minimum of 1–2 years of clinical nursing experience in home health, home care, acute care, or post-acute care

• Strong attention to detail and ability to review clinical documentation for accuracy and compliance

• Strong written and verbal communication skills

• Ability to organize and prioritize a daily workload and meet required timelines

• Comfortable working with electronic health records and Microsoft Office

Preferred Qualifications:

• Previous home health experience

• Experience with quality assurance, chart auditing, QAPI, or clinical documentation review

• Experience reviewing physician orders and plans of care

• Experience with wound care and/or IV/infusion documentation

• Familiarity with CMS Conditions of Participation for Home Health

• Experience with Axxess

• QAPI or chart-auditing training or certification

Why Join American River Home Care?

This role offers the opportunity to use your nursing knowledge in a different way. Rather than providing direct bedside care, you'll play an important role in supporting our clinical teams and helping ensure patients receive care that is consistent with their physician orders and plan of care.

You'll also enjoy a Monday–Friday daytime schedule, work closely with clinical leadership, and have the opportunity to contribute directly to quality improvement across our Advanced Care at Home program.

If you're an LVN who is organized, detail-oriented, comfortable reviewing clinical documentation, and passionate about quality, we'd love to hear from you.

Apply today to join the American River Home Care team.

American River Home Care is an equal opportunity employer. We consider qualified applicants without regard to protected characteristics in accordance with applicable federal, state, and local laws.

Salary : $35 - $45