Quality Assurance Nurse

Tech Solutions LA Inc.; Cebu City; On-site; PHP 350,000 - 550,000; Full time

Job summary

Tech Solutions LA Inc. is seeking a Quality Assurance Nurse to review initial and reassessment packets, verify documentation, and ensure accuracy across clinical records. You will transcribe assessments into MedCompass and create client ISPs for new and upcoming reassessments.

The role requires meticulous attention to detail, experience with healthcare documentation, and the ability to coordinate with nursing staff while maintaining regulatory standards.

Qualifications

• Detail-oriented and organized.
• Experienced with clinical documentation and quality assurance.
• Comfortable working with EMRs and healthcare documentation.
• A strong communicator who collaborates with clinical teams.

Responsibilities

• Review Initial Assessment and Reassessment packets for completeness and accuracy.
• Verify required documentation including clinical records and H&P.
• Create MedCompass client assessments and ISPs for new and semi-annual reassessments.
• Conduct QA reviews of RN assessments for consistency across records.
• Transcribe assessments into MedCompass maintaining standards.
• Identify clinical concerns and escalate to Head of Clinical Services.
• Coordinate revisions with nursing staff and ensure documentation is corrected.
• Communicate with nurses on required revisions and follow up.
• Provide training and ongoing support on ISPs and documentation standards.

Skills

Clinical documentation

EMR systems

Quality assurance

Communication

Detail oriented

Tools

MedCompass

Job description

Quality Assurance Nurse

1. Review Initial Assessment and Reassessment Packets Verify that all required documentation is complete, accurate, and included before assessment.

2. Initial Assessment Requirements: Initial Assessment

Clinical Records

Physician's Report (LIC 602)

Medication Records

History & Physical (H&P)

Progress Notes

3. Reassessment Requirements: Reassessment

Clinical Records

Physician's Report (LIC 602)

Initial ALW Assessment

Medication Administration Records (MAR)

History & Physical (H&P)

Progress Notes

Incident Reports (when applicable)

Individualized Service Plan (ISP)

4. Create MedCompass Client Assessment and ISP Create a MedCompass shells for newly enrolled clients and existing clients scheduled for semi-annual reassessments, ensuring all required demographic and assessment information is prepared for assessment.

5. Conduct Quality Assurance Reviews Review completed initial assessments and reassessments done by RNs to ensure documentation is complete, accurate, internally consistent, and aligned across all supporting clinical records.

6. Transcribe Clinical Assessments into MedCompass Accurately enter assessment data and supporting clinical information into the MedCompass system while maintaining compliance with documentation standards and organizational guidelines.

7. Communicate Clinical Concerns Identify and escalation discrepancies, missing documentation, or clinical concerns—including recommended or potential tier level changes to the Head of Clinical Services for review and appropriate action.

8. Coordinate Revisions with Nursing Staff Communicate professionally and promptly with nurses regarding required revisions, clarifications, or missing information identified during the quality assurance review process. Follow up as needed to ensure all documentation is corrected, completed, and meets organizational and regulatory standards.

9. Conduct Training and Provide Ongoing Support

Train and mentor new nurses on the proper completion of Individualized Service Plans (ISPs), Initial Assessments, Reassessments, and other clinical documentation within MedCompass. Provide guidance on documentation standards, system navigation, best practices, and regulatory requirements to ensure accurate, consistent, and compliant records

We're looking for someone who is:

Detail-oriented and organized

Experienced with clinical documentation and quality assurance

Comfortable working with EMRs and healthcare documentation

A strong communicator who collaborates well with clinical teams