Home Health Quality Improvement Lead

Michigan Medicine; Ann Arbor (MI); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical benefits

Retirement match

Job summary

Michigan Medicine seeks a leader in quality improvement to monitor utilization, analyze data, and educate staff across home health services. The role ensures compliance with Medicare/Medicaid rules and regulatory guidelines, while collaborating with the staff educator and clinical supervisors to maintain high standards of care.

The position emphasizes oversight of documentation accuracy, audits, and readiness for accreditation. Hybrid work mode and travel between sites are possible as needed.

Qualifications

• Bachelor of Science required.
• 3 years of clinical experience.
• Demonstrated knowledge of Medicare rules and regulations.
• Leadership and excellent communication skills.
• Ability to travel between points A and B as assigned.

Responsibilities

• Demonstrates results in achievement of strategic, budgetary and operational targets.
• Works with clinical supervision to ensure patient care meets quality/utilization standards and regulations.
• Compiles/analyzes data, prepares reports on quality/utilization issues and suggests improvements.
• Supports clinical teams through quality improvement projects and staff education.
• Reviews documentation for clinical standards and reimbursement; checks physician orders for accuracy.
• Responds to query/denials and participates in audits and surveys.
• Keeps staff updated on policies and utilization patterns.
• Assists in staff orientation on participation requirements and insurance coverage issues.
• Monitors new staff utilization to ensure appropriate services.
• Provides regular audit reports to Quality Manager and leadership.
• Participates in QAPI development and accreditation readiness.

Skills

Leadership

Communication

Medicare rules

Education

Bachelor of Science

Bachelor’s Degree in Nursing or OT, or Master’s in PT

Job description

Michigan Medicine seeks a leader in quality improvement to monitor utilization, analyze data, and educate staff across home health services. The role ensures compliance with Medicare/Medicaid rules and regulatory guidelines, while collaborating with the staff educator and clinical supervisors to maintain high standards of care.

The position emphasizes oversight of documentation accuracy, audits, and readiness for accreditation. Hybrid work mode and travel between sites are possible as needed.