Quality Assurance Nurse

Optimal Care; United States; À distance; USD 50 000 - 58 000; Plein temps

Avantages offerts par ce poste

Mileage Reimbursement

PTO and PTO accrual for full time

Résumé du poste

Optimal Care seeks a Quality Assurance Nurse to support clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services. You will review patient records, ensure documentation aligns with state, federal, and payer requirements, and help uphold high standards of care coordination and accuracy.

This role emphasizes auditing, coding support, and collaboration with clinical teams, aiming to strengthen workflows, improve outcomes, and ensure reimbursement

Qualifications

• RN license and nursing degree required.
• Minimum 3 years health care management experience.
• Minimum 2 years hospice care experience.
• Reliable transportation, valid driver's license, and insurance.

Responsabilités

• Review medical records to ensure accuracy and completeness.
• Support coding and documentation practices to improve reimbursement accuracy.
• Lead or participate in audits and regulatory reviews (start-of-care, recertifications).
• Contribute to QAPI initiatives and staff education.
• Monitor compliance trends and help strengthen workflows.

Connaissances

RN license

Regulatory knowledge

Clinical documentation

Auditing

Communication

Formation

Nursing degree (Diploma/ADN/BSN)

Description du poste

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.

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.