Quality Assurance (QA) Nurse - Full-Time

Optimal Care; Michigan; Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Mileage Reimbursement

Paid Time Off (3+ weeks)

Medical, Dental, and Vision Insurance

HSA and FSA options

Short Term Disability

Life Insurance

Fraud Protection

Job summary

Optimal Care seeks a Quality Assurance Nurse to uphold clinical documentation integrity for hospice and home health. You will review records, support coding accuracy, and help meet regulatory requirements, ensuring high-quality patient care and compliant reimbursement.

The role emphasizes audits, staff education, and participation in QAPI initiatives to improve workflows and outcomes for patients and families.

Qualifications

• Graduate of an accredited nursing program with RN license.
• Minimum 3 years of health care management experience.
• Minimum 2 years of hospice care experience.
• Solid knowledge of home health care regulations and reimbursement.

Responsibilities

• Review medical records for accuracy and completeness.
• Ensure documentation aligns with state, federal, and payer requirements.
• Support start-of-care reviews and re-certifications.
• Identify opportunities to strengthen workflows and outcomes.
• Participate in QAPI initiatives and staff education.

Skills

Attention to detail

Regulatory compliance

Documentation accuracy

Audit skills

Education

Diploma/Associate/Baccalaureate Nursing

Tools

ICD-10 coding certification

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.