Quality Assurance (QA) Nurse (RN)

Job Title: Quality Assurance (QA) Nurse (RN)

Department: Quality Assurance (QA)

Reports To: Clinical Administrative Mgr/Clinical Mgr/Alternate Clinical Manager

FLSA Status: Exempt

Position Summary

The purpose of the QA Nurse (RN) is to ensure the quality of care provided to patients in their homes. This role involves reviewing patients' clinical records to ensure compliance with agency policies and regulations.

Key Responsibilities

·       Review patient's clinical records to ensure compliance with agency policies.

·       Assist with case conferences as needed.

·       Review clinical and progress notes for each patient's visit.

·       Complete certification/recertification orders and discharge summaries.

·       Review OASIS assessments, reassessments, transfers, resumptions of care, discharges, and     significant changes in condition according to agency-defined time frames.

·       Notifies department leadership of problematic trends as a result of the OASIS review and works with leadership to address trends that affect the agency's outcome and processes measures noted during the OASIS review.

·       Consults with appropriate clinical staff to clarify any data integrity issues and works with clinicians to make appropriate corrections per organization policy.

·       Performs other duties and activities as assigned.

Employee Support & Communication

•       Educate employees on clinical documentation policies and changes

•       Maintain clinical documentation expectations

•       Support clinical employees with specific clinical related guidance

Qualifications Required

•       Current and Active Registered Nurse (RN) Licensure

•       1 years of progressive experience in the healthcare setting.

•       Strong knowledge of clinical nursing skills

•       Excellent analytical, organizational, and problem-solving skills

•       High level of confidentiality, accuracy, and attention to detail

•       Must demonstrate excellent interpersonal skills; both written and verbal, time management, and Microsoft Office skills.

Core Competencies

•       Knowledge of healthcare environment

•       Professionalism and leadership

•       Communication and training

•       Process improvement and compliance mindset

 Additional Details

•       Full-Time Hybrid position

•       Flexible Schedule 

•       On job continuous QA education provided

*This is a HYBRID position.  1-2 in office days are required.*