Quality Registered Nurse

Butte Home Health Inc; Chico (CA); On-site; USD 67,000 - 89,000; Full time

Job summary

Butte Home Health & Hospice in Chico, CA seeks an experienced Quality RN to lead clinical quality reviews, monitor outcomes, and collaborate with leadership to improve patient care across home health and hospice programs.

You will review documentation, identify trends, and support regulatory compliance, HHVBP, and HH Star ratings while guiding frontline clinicians with practical, evidence-based improvements.

Qualifications

• RN with current California license required.
• Minimum of two years nursing experience in clinical settings.
• Experience in Home Health or Hospice and QAPI is preferred.
• Strong documentation review and regulatory knowledge expected.

Responsibilities

• Conduct clinical record reviews and audits for home health and hospice patients.
• Assess documentation for completeness, accuracy, and regulatory compliance.
• Identify gaps, risks, and opportunities for improvement.
• Provide feedback to clinicians and leaders to drive improvements.
• Support development and monitoring of Performance Improvement projects.

Skills

Clinical judgment

Attention to detail

Communication

Quality feedback

Independent worker

Education

California RN license

2+ years clinical nursing experience

Tools

EMR/EHR systems

Quality reporting systems

Job description

Job Details: Location: Office - Chico, CA 95973; Position Type: Full-Time/Part-Time; Education Level: Professional License Required; Salary Range: $50.00 - $60.00 Salary/month; Travel Percentage: Up to 50%; Job Category: Health Care Quality RN.

Butte Home Health & Hospice | Chico, California.

Help Turn Clinical Excellence into Better Patient Care.

At Butte Home Health & Hospice, we believe every patient deserves exceptional care—and continuous improvement starts with strong clinical oversight.

We're looking for an experienced Quality RN who is passionate about patient care, clinical excellence, regulatory compliance, and helping clinicians succeed. This is an exciting opportunity to help shape quality outcomes across one of Northern California's leading nonprofit home health and hospice organizations.

If you enjoy reviewing clinical documentation, identifying opportunities for improvement, supporting clinicians, and helping turn quality findings into better patient care, we'd love to meet you.

About the Role

The Quality RN supports our Quality Assurance and Performance Improvement (QAPI) program by reviewing clinical documentation, monitoring quality outcomes, identifying trends and risks, and collaborating with clinical leadership to improve patient care across our Home Health and Hospice programs. This position serves as a clinical quality resource and strategic partner to leadership, helping ensure that documentation supports the patient’s condition, plan of care, services provided, regulatory requirements, and organizational standards. Rather than simply identifying problems, you’ll help find solutions, strengthen clinical practice, and turn quality findings into meaningful improvements.

What You'll Do

Clinical Quality Review

• Perform clinical record reviews and audits for Home Health and Hospice patients
• Evaluate documentation for completeness, accuracy, consistency, and regulatory compliance
• Review clinical records for alignment between the patient’s condition, assessment findings, plan of care, interventions, and outcomes
• Identify documentation gaps, clinical risks, and opportunities for improvement
• Support accurate and timely completion of required clinical documentation
• Provide clear, constructive feedback to clinicians and clinical leaders

Quality Assurance & Performance Improvement

• Hospitalizations
• Emergency Department utilization
• Falls
• Infection trends
• Wound outcomes
• Medication management
• OASIS quality measures
• Home Health Value-Based Purchasing (HHVBP) metrics
• Home Health Star Ratings
• Hospice quality measures, including HOPE and CAHPS
• Visit utilization
• Length of Stay
• Live Discharges
• Patient complaints and grievances
• Adverse events and clinical incidents
• Other clinical and operational quality indicators

Performance Improvement & Clinical Support

• Identify trends and opportunities for clinical improvement
• Collaborate with clinical managers to investigate quality concerns and determine root causes
• Help develop and implement Performance Improvement projects
• Establish baseline performance and monitor progress over time
• Assist with corrective action plans and follow-up monitoring
• Provide education and coaching based on audit findings and identified trends
• Help translate regulatory requirements and quality findings into practical improvements for frontline clinicians

Regulatory Compliance & Readiness

• Support compliance with Medicare Conditions of Participation and other applicable federal and state requirements
• Assist with survey readiness and ongoing regulatory compliance
• Participate in preparation for state, federal, accreditation, and payer audits or reviews
• Support clinical record requests, ADRs, audits, and other quality-related reviews as needed
• Monitor changes in clinical regulations and quality requirements affecting Home Health and Hospice
• Help ensure policies, procedures, documentation practices, and clinical workflows align with current requirements

Infection Prevention & Patient Safety

• Support infection prevention and control activities across the organization
• Monitor infection trends and assist with investigation and follow-up
• Help identify opportunities to reduce patient safety risks
• Support education related to infection prevention, adverse events, falls, wounds, and other quality concerns
• Collaborate with leadership to develop effective interventions when trends or risks are identified

Qualifications

We’re Looking For Someone Who...

• Is passionate about clinical excellence and patient safety
• Has strong clinical judgment and attention to detail
• Enjoys reviewing documentation and identifying opportunities for improvement
• Can provide constructive feedback in a supportive and professional way
• Understands that quality is about improving care—not simply finding errors
• Is naturally curious and willing to ask thoughtful questions
• Can identify patterns and trends that others may miss
• Is highly organized and able to manage multiple priorities
• Works well independently while collaborating effectively across departments
• Can translate complex clinical and regulatory requirements into clear, practical guidance

Preferred Qualifications

• Current California Registered Nurse license in good standing
• Minimum of two years of clinical nursing experience
• Home Health or Hospice experience strongly preferred
• Experience with clinical quality, QAPI, chart auditing, regulatory compliance, utilization review, case management, or clinical leadership preferred
• Knowledge of Medicare Conditions of Participation and healthcare regulatory requirements
• OASIS experience preferred for candidates supporting Home Health quality
• Strong clinical assessment and documentation review skills
• Excellent written and verbal communication skills
• Strong organizational, analytical, and problem-solving abilities
• Comfortable using electronic medical records, Microsoft Office, and quality reporting systems

Why Join Butte Home Health & Hospice?

As a nonprofit organization serving Northern California since 1984, our mission is simple: provide exceptional care to every patient and family we serve. You’ll join a collaborative team committed to clinical excellence, continuous improvement, innovation, and supporting our clinicians in delivering the highest quality care possible. Your work won’t simply identify what could be better—it will directly influence clinical practice, strengthen documentation, improve patient outcomes, reduce risk, and help shape the future of our organization. This is more than an auditing position. It’s an opportunity to help turn quality into better care.