Remote LVN/LPN QA Specialist — Patient Care Compliance

Adaptive Home Health, LLC; Houston (TX); Remoto; USD 34.000 - 44.000; Tempo integral

Benefícios oferecidos por esta vaga

Remote work flexibility

Performance-based compensation

Resumo da vaga

Adaptive Home Health is expanding a remote QA LPN/LVN role across Texas, focusing on clinical accuracy, regulatory compliance, and reimbursement optimization. This position supports field clinicians with actionable feedback and quality improvement initiatives.

You will review SOC, ROC, Recert, Transfer, and Discharge assessments, correct errors, and help ensure consistency while maintaining patient-centered care in a remote, productivity-based environment.

Qualificações

• Active, unrestricted LPN or LVN license.
• Minimum 2 years of home health experience.
• Strong understanding of Medicare home health reimbursement and PDGM.
• High attention to detail and strong clinical judgment.
• Ability to work independently in a remote environment with minimal supervision.
• Excellent written and verbal communication skills.
• Proficiency with EMR systems (HCHB preferred) and Microsoft Office.

Responsabilidades

• Review and validate all assigned assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency.
• Identify and correct errors impacting reimbursement, quality measures, or compliance before submission.
• Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement.
• Support agency compliance with Conditions of Participation (CoPs) and internal quality standards.
• Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization.
• Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility.
• Complete assigned reviews within defined turnaround times while maintaining high accuracy standards.
• Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements.

Conhecimentos

Home health experience

Medicare PDGM knowledge

EMR proficiency

Attention to detail

Communication skills

Formação

LPN/LVN license

Ferramentas

EMR systems (HCHB preferred)

Microsoft Office

Descrição da vaga

Adaptive Home Health is expanding a remote QA LPN/LVN role across Texas, focusing on clinical accuracy, regulatory compliance, and reimbursement optimization. This position supports field clinicians with actionable feedback and quality improvement initiatives.

You will review SOC, ROC, Recert, Transfer, and Discharge assessments, correct errors, and help ensure consistency while maintaining patient-centered care in a remote, productivity-based environment.