Quality Assurance (QA) Nurse - Full-Time

Optimal Care; Indiana; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Mileage Reimbursement

Paid Time Off

Medical, Dental, and Vision Insurance

HSA/FSA options

Short Term Disability

Life Insurance

ID and Fraud Protection

Top Work Places recognition

Job summary

Optimal Care is seeking a Quality Assurance Nurse to support clinical integrity and regulatory compliance across hospice and home health services. The role involves auditing patient records, assisting with coding accuracy, and ensuring documentation reflects care quality while supporting reimbursement processes.

The ideal candidate is an experienced RN, detail-oriented, and capable of guiding QAPI initiatives.

Qualifications

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
• Current State License as a Registered Nurse
• ICD10 coding certification within one year of hire (preferred)
• Minimum 3 years of health care management
• Minimum 2 years of hospice care experience
• Quality assurance experience
• Exhibits working knowledge of regulations and reimbursement in home health care

Responsibilities

• Support clinical integrity, regulatory compliance, and quality outcomes across hospice and home health services.
• Review medical records and support accurate coding and documentation practices.
• Manage regulatory processes such as start-of-care reviews and re-certifications.
• Identify opportunities to strengthen workflows and improve outcomes.
• Contribute to QAPI initiatives and staff education.
• Monitor compliance trends and impact on reimbursement and care quality.

Skills

Quality assurance

Hospice care

Regulatory compliance

Auditing

Education

Nursing degree (Diploma/ASN/BSN)

Job description

Quality Assurance Nurse

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.

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

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

• 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
• Quality assurance experience
• Exhibits working knowledge of regulations and reimbursement in home health care
• ICD10 coding certification required within one year of hire (preferred at time of hire)

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
• Id and Fraud Protection
• 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.

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

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.

We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. 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.