Remote Quality Assurance Nurse — Hospice & Home Health

Optimal Care

Indiana

Remote

USD 70,000 - 95,000

Full time

4 days ago

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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.