RN Wound Care/Medical QA

E-Teleconnect; Parañaque; On-site; PHP 360,000 - 540,000; Full time

Job summary

A healthcare company is seeking a Wound Care QA Registered Nurse responsible for ensuring the quality and compliance of wound care documentation. The role focuses on documentation governance, requiring a Philippines RN license and at least one year of nursing experience. Candidates must have strong clinical documentation skills, and experience in both bedside nursing and QA/documentation review is essential. This is a full-time, in-person position supporting regulatory compliance and documentation standards.

Qualifications

• Minimum 1 year total nursing experience with both bedside clinical and BPO/QA/documentation review experience.
• Bedside experience in Medical-Surgical, OR, Orthopedics, or General Surgery is required.
• Experience in QA/ utilization review or documentation review preferred.

Responsibilities

• Review wound care documentation for clinical accuracy and compliance.
• Provide clear feedback to clinicians.
• Participate in QA audits and performance monitoring.
• Provide clear, standards-based feedback to clinicians.
• Support development of wound care notation standards and QA tools.
• Participate in QA audits and performance monitoring.
• Collaborate with Clinical Operations, Billing and Compliance.

Skills

Clinical documentation skills

Chart review skills

Written communication

Verbal communication

EMR proficiency

Education

Philippines Registered Nurse (RN) license

Tools

EMR systems

Job description

Job Overview

The Wound Care QA Registered Nurse is responsible for reviewing and ensuring the quality, completeness, and compliance of wound care documentation completed by field RNs and NPs. This role supports regulatory compliance, payer requirements (Medicare and Medi-Cal), and internal quality standards through structured chart review, documentation feedback, and participation in QA initiatives.

This is a non-bedside, quality assurance role focused on documentation governance and risk mitigation.

Key Responsibilities

• Review wound care documentation for clinical accuracy, completeness, and compliance
• Ensure documentation aligns with Medicare, Medi-Cal, and applicable Local Coverage Determinations (LCDs)
• Identify documentation gaps and trends that may pose compliance or reimbursement risk
• Provide clear, standards-based feedback to clinicians
• Support the development and implementation of wound care notation standards and QA tools
• Participate in QA audits and performance monitoring
• Collaborate with Clinical Operations, Billing, and Compliance teams

Required Qualifications

Education & Licensure: Active, unrestricted Philippines Registered Nurse (RN) license

Work Experience

Minimum 1 year total nursing experience, including both: Bedside clinical experience, BPO / utilization review / QA / documentation review experience

Acceptable mix: 2:1 or 1:1 (Bedside : BPO/QA)

Zero experience in either category is not acceptable

Clinical Background

Bedside experience in at least one: Medical-Surgical, Operating Room (OR), Orthopedics, General Surgery

Core Skills

Strong clinical documentation and chart review skills

EMR proficiency

Understanding of medical necessity and skilled documentation

Strong written and verbal communication

Ability to provide constructive documentation feedback

Preferred (Not Required)

• Wound care experience (chronic, complex, or post-surgical)
• Exposure to advanced wound therapies (e.g., grafting, Ultramist)
• Familiarity with Medicare, Medi-Cal, and LCD documentation standards
• QA, audit, or utilization management experienceHome health or post-acute care experience

Scope

• No direct patient care
• Focused on documentation QA, feedback, and escalation per protocol

Job Type: Full-time

Work Location: In person