LVN/LPN QA Specialist - Weekends Only

Adaptive Home Health; Houston (TX); Remoto; USD 34.000 - 44.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote work flexibility

Performance-based compensation

Descrizione del lavoro

Adaptive Home Health is expanding a remote QA LPN/LVN role across Texas, focusing on clinical accuracy, regulatory compliance, and reimbursement optimization. This position supports field clinicians with actionable feedback and quality improvement initiatives.

You will review SOC, ROC, Recert, Transfer, and Discharge assessments, correct errors, and help ensure consistency while maintaining patient-centered care in a remote, productivity-based environment.

Competenze

• Active, unrestricted LPN or LVN license.
• Minimum 2 years of home health experience.
• Strong understanding of Medicare home health reimbursement and PDGM.
• High attention to detail and strong clinical judgment.
• Ability to work independently in a remote environment with minimal supervision.
• Excellent written and verbal communication skills.
• Proficiency with EMR systems (HCHB preferred) and Microsoft Office.

Mansioni

• Review and validate all assigned assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency.
• Identify and correct errors impacting reimbursement, quality measures, or compliance before submission.
• Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement.
• Support agency compliance with Conditions of Participation (CoPs) and internal quality standards.
• Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization.
• Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility.
• Complete assigned reviews within defined turnaround times while maintaining high accuracy standards.
• Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements.

Conoscenze

Home health experience

Medicare PDGM knowledge

EMR proficiency

Attention to detail

Communication skills

Formazione

LPN/LVN license

Strumenti

EMR systems (HCHB preferred)

Microsoft Office

Descrizione del lavoro

• Comp: $ 25-32
• Schedule: Remote, Sat/Sun
• Location: Remote

Job Description

• Comp: $ 25-32
• Schedule: Remote, Sat/Sun
• Location: Remote

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our QA LPN/LVN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and optimal reimbursement while supporting field clinicians with actionable feedback and continuous quality improvement.

Who We Are

We build technology to better support our clinical operations and compliance teams. Our documentation and QA workflows are designed to streamline reduce rework, and maintain defensible, high-quality submissions.

If you have sharp clinical judgment and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance.

What Will You Do

• Review and validate all assigned assessment (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency
• Identify and correct errors impacting reimbursement, quality measures, or compliance before submission
• Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement
• Support agency compliance with Conditions of Participation (CoPs) and internal quality standards
• Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization
• Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility
• Complete assigned reviews within defined turnaround times while maintaining high accuracy standards
• Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements

Why Adaptive

• Clear, performance-based comp: $25-$32
• Remote flexibility: Work from home with flexible hours
• Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance
• Strong operational support: Collaborate with experienced clinical and compliance leadership
• Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden

Requirements

Must-haves

• Active, unrestricted LPN or LVN
• Minimum 2 years of home health experience
• Strong understanding of Medicare home health reimbursement and PDGM
• High attention to detail and strong clinical judgment
• Ability to work independently in a remote environment with minimal supervision
• Excellent written and verbal communication skills
• Proficiency with EMR systems (HCHB preferred) and Microsoft Office

Nice-to-haves

• Prior experience in home health QA, auditing, or coding
• Familiarity with Homecare Homebase (HCHB) or AXXESS
• Experience working in a per-review or productivity-based role

Performance Expectations

• Accurate and compliant reviews with minimal rework
• Consistent turnaround times aligned with agency workflow needs
• Clear, professional, and constructive communication with clinicians and leadership
• Ongoing adherence to quality and compliance standards
• Proactive identification of trends and process improvement opportunities

Physical & Technical Requirements

• Ability to work at a computer for extended periods
• Reliable high-speed internet access and secure, HIPAA-compliant workspace
• Proficiency with EMR systems, Microsoft Office, and virtual communication tools (Slack, Zoom, etc.)

Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.