Quality Assurance Nurse

Optimal Care

Oregon

Hybrid

USD 50,000 - 58,000

Full time

8 days ago

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Benefits offered by this job

Mileage Reimbursement
Paid Time Off
Medical Insurance
Dental Insurance
Vision Insurance
HSA/FSA options
401(k) with Employer Match
Life Insurance
Short Term Disability
Pet Insurance
Fraud Protection

Job summary

Optimal Care is seeking a Quality Assurance Nurse to strengthen clinical documentation, regulatory compliance, and outcomes across hospice and home health services. You will review records, support accurate coding, manage regulatory reviews, and collaborate with clinical teams to drive excellence in care and reimbursement accuracy.

The ideal candidate is an experienced RN, highly organized, and detail-oriented, with strong communication skills. Travel to site locations is occasional as needed.

Qualifications

  • Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
  • Current State License as a Registered Nurse.
  • Minimum 3 years of health care management.
  • Minimum 2 years of hospice care experience.
  • Reliable transportation, valid driver’s license, and valid automobile insurance coverage.

Responsibilities

  • Review patient records for accuracy and completeness.
  • Support coding and documentation practices.
  • Lead staff education and contribute to QAPI initiatives.
  • Monitor regulatory compliance trends.

Skills

Interpersonal skills
Regulatory knowledge
Leadership in staff education
Critical thinking
ICD-10 coding certification

Education

Diploma in Nursing
Associate Degree in Nursing
Bachelor of Science in Nursing

Job description

About the Role

Support clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services. As a Quality Assurance Nurse, you'll play a key role in ensuring patient records are accurate, complete, and aligned with state, federal, and payer requirements while helping uphold the highest standards of clinical documentation and care coordination. Through thoughtful review, auditing, and collaboration with clinical teams, you'll help ensure documentation reflects the quality care provided to patients and supports organizational excellence.This role is ideal for an experienced RN who is detail-oriented, highly organized, and passionate about maintaining excellence in clinical documentation and regulatory compliance. You'll review medical records, support accurate coding and documentation practices, manage regulatory processes such as start-of-care reviews and re-certifications, and identify opportunities to strengthen workflows and improve outcomes. As a key member of the quality team, you'll contribute to QAPI initiatives, support staff education, and monitor compliance trends. Your expertise will directly impact reimbursement accuracy, operational efficiency, and the continued delivery of high-quality care to patients and families.

Location

Office Location: 801 Rosehill Road, Jackson, MI 49202

This is a remote opportunity for those living in Michigan, Ohio, or Indiana

The Quality Assurance Nurse may travel periodically to clinical sites, patient care locations, or company offices to conduct audits, training, and compliance reviews

Hours Per Diem Schedule: Monday-Friday, 8:00 am – 5:00 pm

Required Qualifications
  • Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
  • Current State License as a Registered Nurse
  • Minimum 3 years of health care management
  • Minimum 2 years of hospice care experience
  • Reliable transportation, valid driver’s license, and valid automobile insurance coverage
Desired Qualifications
  • BA/BSN
  • Quality assurance experience
Essential Skills and Competencies
  • Demonstrated interpersonal skills, with the ability to communicate effectively
  • Exhibits working knowledge of regulations and reimbursement in home health care
  • Proven leadership abilities in staff education
  • Willing to develop new critical thinking skills
  • ICD10 coding certification required within one year of hire (preferred at time of hire)
Pay Range

$36—$42 USD

How We Care for You
  • Mileage Reimbursement
  • Minimum of 3 Weeks Paid Time Off for Full Time
  • Part Time/Per Diem also accrue Paid Time Off
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Pet Insurance
  • ID and Fraud Protection
  • And more...
Optimal C

are is where your dedication meets a rewarding career.

Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We’re committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.

As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.

We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.

We live a simple Mission:

Serve Together, Provide Value, and Deliver Exceptional Quality Care.

Background Screening

Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

Reasonable Accommodations

We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.

Equal Opportunity Employer

We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

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