What are the responsibilities and job description for the Quality Assurance Nurse position at Stepping Stones Home Care Services Ltd?
Company Overview
Stepping Stones Home Care Services Ltd is committed to delivering excellence and integrity in health services. Our agency specializes in providing compassionate, high-quality care tailored to each individual's needs.
Job Summary
We are seeking a dedicated and detail-oriented Quality Assurance Nurse to oversee clinical documentation, compliance, and quality standards within our home care setting. The ideal candidate will possess extensive experience in Home Health documentation review, utilization management, and healthcare regulations, ensuring that our services meet all required standards of quality and safety. This role offers an opportunity to influence patient care quality through meticulous review and adherence to industry best practices.
Responsibilities
- Conduct comprehensive reviews of Start of Cares, OASIS, Discharges, ensuring accuracy, completeness, and compliance with clinical documentation standards.
- Monitor adherence to healthcare regulations including HIPAA, CMS guidelines, and state-specific policies.
- Collaborate with clinical teams to improve documentation practices aligned with Medicare, Medicaid, and long-term care regulations.
- Perform utilization management activities by reviewing patient cases for appropriate resource utilization and care planning.
- Support clinical documentation improvement initiatives to enhance coding accuracy (CPT, ICD-9, ICD-10) and DRG assignments for billing purposes.
- Utilize EMR such as AXXESS & HealthTrust and other electronic health record platforms for documentation review and data analysis.
- Maintain up-to-date knowledge of health regulation policies including CMS updates to ensure ongoing compliance.
Experience
- Proven of 3 years experience in the Home Health Setting as a QA Nurse
- Strong background in managed care environments with familiarity in Medicare regulations and utilization review processes.
- Experience working with EMR, AXXESS, HealthTrust or similar platforms.
- Knowledge of ICD coding (ICD-10), CPT coding, DRG assignment.
If interested give us a call at 956-661-9400 ask for Ashlee or Juan
Pay: $25.00 - $30.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- QA NURSE IN HOME HEALTH: 3 years (Required)
- OASIS: 3 years (Required)
License/Certification:
- RN License (Required)
- LVN (Required)
Work Location: In person
Salary : $25 - $30