Home Health Clinical QA Nurse (Remote - US Client)

AdminEdge; Metro Manila; A distancia; PHP 615.000 - 703.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive USD hourly pay

Fully remote role

Fixed US schedule

PTO and US holidays off

Direct collaboration with US clients

Descripción de la vacante

AdminEdge is seeking a Home Health Clinical QA Nurse to perform remote quality assurance and clinical documentation review. This role focuses on accuracy and consistency of admissions, recertifications, and discharge records while ensuring templates align with agency standards.

You will work with DataSoft EMR and AI-assisted tools to maintain efficient turnaround times in a busy managed care environment, supporting patient care and documentation integrity from a remote location.

Formación

• Licensed RN in the Philippines.
• Minimum 3 years of US-based home health QA or documentation review experience.
• Experience with EMR systems and clinical documentation templates.
• Strong attention to detail and accuracy.

Responsabilidades

• Review home health clinical documentation for accuracy, completeness, and consistency.
• Perform QA reviews of admissions, recertifications, discharges, and skilled nursing notes.
• Verify documentation reflects diagnoses, skilled needs, and care provided.
• Identify incomplete, conflicting, or outdated information in clinical records.
• Ensure templates and formatting meet agency standards and timelines.
• Coordinate corrections with clinical staff and escalate as needed.

Conocimientos

RN license PH

US home health

English communication

EMR familiarity

DataSoft

Axxess

Remote work

HIPAA

Educación

RN licensure

Herramientas

DataSoft EMR

Axxess

Descripción del empleo

Position: Home Health Clinical QA Nurse

Job Type:Full-time (40 hours/week)

Location:Philippines (Remote, PST hours)

Salary: $7-8/hr

Overview

We are seeking an experienced Home Health Clinical QA Nurse to provide remote quality assurance and clinical documentation review. This position focuses on reviewing completed clinical documentation, identifying inconsistencies, ensuring completeness, and maintaining the agency's established documentation standards.

The role involves reviewing admissions, recertifications, discharges, skilled nursing visit notes, and other clinical records to ensure documentation accurately reflects the patient's condition, skilled needs, and care provided.

The agency utilizes DataSoft as its electronic medical record (EMR) system, along with established documentation templates and AI-assisted tools to streamline clinical workflows. The QA Nurse will play an important role in reviewing documentation for accuracy and consistency while helping maintain efficient turnaround times in a busy managed care environment.

Key Responsibilities

Clinical Documentation Review & Quality Assurance

• Review home health clinical documentation for accuracy, completeness, consistency, and adherence to agency standards.
• Perform quality assurance reviews of admission assessments, recertifications, discharge summaries, and skilled nursing visit notes.
• Verify that clinical documentation accurately reflects patient diagnoses, skilled needs, interventions, and responses to care.
• Identify incomplete, conflicting, duplicated, or inaccurate information within clinical records.
• Review documentation for appropriate clinical justification and consistency with established plans of care.
• Ensure documentation follows the agency's established templates, formatting requirements, and quality standards.
• Flag documentation deficiencies and coordinate necessary corrections with the appropriate clinical staff.
• Help maintain timely completion of clinical records in a high-volume home health environment.

Admission, Recertification & Discharge Documentation

• Review admission documentation to ensure required clinical information is complete and internally consistent.
• Evaluate recertification documentation for appropriate updates to patient conditions, skilled needs, and clinical progress.
• Identify recertification notes containing outdated, copied-forward, or unsupported clinical information.
• Review discharge documentation to ensure patient status, treatment outcomes, and discharge circumstances are appropriately documented.
• Identify missing discharge summaries, incomplete assessments, and outstanding documentation requiring follow-up.
• Verify consistency between assessments, visit notes, and the patient's established plan of care.
• Monitor documentation deficiencies and communicate outstanding items to clinical leadership.

Clinical Accuracy & Documentation Consistency

• Review wound care documentation for consistency in wound measurements, descriptions, treatment interventions, and documented progress.
• Identify discrepancies between wound assessments, previous measurements, and subsequent visit documentation.
• Verify that clinical findings, diagnoses, and skilled interventions are supported by the information recorded.
• Identify conflicting patient information across assessments, visit notes, and other clinical records.
• Ensure documentation reflects meaningful changes in patient condition rather than repetitive or copied-forward entries.
• Flag potential clinical or documentation concerns for review by the appropriate licensed clinician or clinical leadership.

EMR, Templates & Workflow Support

• Utilize DataSoft EMR to review clinical records, identify deficiencies, and track documentation completion.
• Apply established documentation templates and agency-specific formatting standards.
• Review AI-assisted or template-generated documentation for accuracy, completeness, and clinical consistency.
• Identify errors, omissions, or unsupported information in AI-generated documentation before it is finalized.
• Track outstanding documentation issues and assist with timely follow-up and resolution.
• Maintain organized QA workflows to support efficient processing of a high volume of clinical records.
• Communicate recurring documentation problems and opportunities for workflow improvement to agency leadership.

Preferred Skills & Qualifications

• Licensed Registered Nurse (RN) in the Philippines or equivalent recognized nursing qualification.
• Minimum 3 years of experience supporting US-based home health agencies, preferably in clinical QA, documentation review, or related clinical operations.
• Strong working knowledge of US home health clinical documentation requirements and workflows.
• Experience reviewing admissions, recertifications, discharges, skilled nursing notes, and plans of care.
• Ability to identify clinical inconsistencies, missing documentation, and inaccurate or unsupported entries.
• Strong understanding of wound care documentation, including measurements, assessments, and treatment consistency.
• Experience working with electronic medical records and established clinical documentation templates.
• Excellent attention to detail and ability to maintain high documentation standards.
• Strong written and verbal English communication skills.
• Ability to work independently, manage a high-volume workload, and meet established turnaround expectations.
• Comfortable working remotely during US-Pacific business hours.
• Commitment to patient confidentiality, HIPAA compliance, and professional clinical documentation standards.

Nice-to-Have (Bonus Skills)

• Previous experience with DataSoft EMR.
• Experience with Axxess or comparable US home health EMR platforms.
• Experience supporting home health agencies with predominantly managed care populations.
• Familiarity with managed care documentation expectations and payer-specific requirements.
• Experience reviewing OASIS assessments and identifying documentation inconsistencies.
• Familiarity with AI-assisted clinical documentation tools, prompts, and automated chart review workflows.
• Experience supporting quality improvement initiatives or clinical documentation audits.
• Familiarity with high-volume home health operations and documentation turnaround management.

What we offer:

• Competitive compensation — $7–$8 per hour, paid in USD
• Fixed U.S. working schedule
• Fully remote role — work from anywhere
• Direct collaboration with U.S. small businesses and entrepreneurs
• Paid time off — 10 PTO days per year, plus 6 U.S. holidays off