RN Manager Home Health Quality Assurance

UT Southwestern Medical Center; Dallas (TX); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

PPO medical plan

100% coverage for preventive health

Paid Time Off

TRS retirement

Paid Parental Leave

Wellness programs

Tuition Reimbursement

PSLF Qualified Employer

Job summary

UT Southwestern Medical Center in Dallas, TX is seeking an RN Manager of Home Health Quality Assurance to lead the agency's QAPI program and ensure compliant, high-quality patient care in the home setting. This role collaborates with administrators, clinical leadership, and governing bodies to drive data-driven improvement.

The ideal candidate holds a Bachelor's in nursing, at least 5 years of clinical experience including home health and QA leadership, and an OASIS credential (COS-C or

Qualifications

• Bachelor's Degree in nursing required.
• 5 years of progressive clinical experience with at least 2 years in Medicare-certified Home Health and 2 years in quality, compliance, QA, clinical documentation review, OASIS review/education, or QAPI leadership.
• OASIS Credential: COS-C or equivalent OASIS-focused credential/training within 1 Year.

Responsibilities

• Develop, implement, evaluate, and maintain an effective, ongoing, agency-wide, data-driven QAPI program in alignment with 42 CFR 484.65.
• Establish measurable quality priorities, performance indicators, and a governance cadence with documented minutes, actions, and follow-up.
• Lead Performance Improvement Projects (PIPs) using structured methodologies (PDSA/Lean) addressing high-risk areas and patient safety.
• Ensure the QAPI program uses data from multiple sources and results in sustained improvement.
• Prepare QAPI reports/dashboards for the Administrator and governing body; elevate quality risks and recommend corrective actions.
• Oversee OASIS accuracy and integrity (SOC/ROC/Discharge/Transfer) per CMS guidance.
• Develop and manage pre-bill/clinical record review processes to confirm medical necessity and defensible documentation.
• Collaborate with clinical leadership to set documentation standards and reduce denials/ADR risk.
• Provide coaching and education to clinicians on OASIS and documentation quality; track remediation outcomes.
• Maintain survey readiness for CMS and accreditation bodies by ensuring COP alignment.

Skills

Clinical leadership

Quality improvement

OASIS review

Education

Bachelor's Degree in nursing

Job description

RN Manager of Home Health Quality Assurance

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!

Job Summary

The Home Health Quality Assurance (QA) Manager leads the agency's Quality Assessment and Performance Improvement (QAPI) program and oversees documentation and clinical quality processes that support safe, compliant, and high-performing patient care in the home. This role partners with the Administrator, Clinical Manager(s), Therapy and Nursing leadership, and the governing body to ensure an effective, ongoing, data-driven QAPI program aligned with CMS Home Health Conditions of Participation (CoPs), including 42 CFR 484.65.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

Required

EXPERIENCE AND EDUCATION

• Education Bachelor's Degree in nursing
• Experience 5 years of progressive clinical experience, with at least 2 years in Medicare-certified Home Health and 2 years in quality, compliance, QA, clinical documentation review, OASIS review/education, or QAPI leadership (may be combined across roles). Must be able to fulfill role of Nurse Supervisor in alignment with State of Texas requirements.
• Licenses and Certifications OASIS Credential: COS-C or equivalent OASIS-focused credential/training within 1 Year

Preferred

• Licenses and Certifications (CPHQ) Cert Pro in Hlthcr Quality Formal QAPI / performance improvement training (Preferred): documented training in QAPI methods (PDSA/Lean/Six Sigma) and regulatory quality program operations. Home health coding/clinical documentation credential (Preferred, role-dependent): HCS-O / HCS-D or similar home health assessment/coding credential.

Job Duties

• Develop, implement, evaluate, and maintain an effective, ongoing, agency-wide, data-driven QAPI program in alignment with 42 CFR
• 484.65.
• Establish measurable quality priorities, performance indicators, and a governance cadence (e.g., monthly QAPI meetings) with documented minutes, actions, and follow-up.
• Lead Performance Improvement Projects (PIPs) using structured methodologies (e.g., PDSA/Lean) that address high-risk, high-volume, or problem-prone areas and patient safety.
• Ensure the QAPI program uses data from multiple sources (clinical records, OASIS/QA reviews, patient feedback, incidents, infection prevention, utilization/readmissions) and results in sustained improvement.
• Prepare QAPI reports/dashboards for the Administrator and governing body; elevate quality risks and recommend corrective actions.
• Oversee OASIS accuracy and integrity (SOC/ROC/Discharge/Transfer), ensuring alignment with CMS guidance and internal policy.
• Develop and manage pre-bill/clinical record review processes to confirm medical necessity, plan-of-care alignment, and defensible documentation for each visit note.
• Collaborate with clinical leadership to set documentation standards (timeliness, completeness, consistency) and reduce denials/ADR risk through proactive improvement.
• Provide targeted coaching and education to clinicians on OASIS, care planning, and documentation quality; track remediation completion and outcomes.
• Maintain continuous survey readiness for CMS and accrediting bodies by ensuring CoP alignment across clinical operations and documentation.
• Perform routine compliance audits (e.g., timeliness of assessments, care planning, orders, discharge planning, infection prevention practices) and track corrective actions to closure.
• Coordinate responses to findings (internal audits, state survey, accreditation) including Plans of Correction (POCs), evidence submission, and sustainment monitoring.
• Partner with clinical leaders to ensure timely investigation and trending of incidents, complaints, and adverse events; ensure lessons learned are embedded into practice.
• Monitor key quality and operational metrics such as OASIS data quality, timeliness measures, missed visits, infection events, hospitalization/readmission rates, patient satisfaction, and clinical outcomes.
• Develop and maintain actionable dashboards and audit tools; ensure data definitions, validation, and accountability for metric owners.
• Identify performance gaps and root causes; translate findings into practical workflow changes, education, and measurable targets.
• Collaborate with Finance/Revenue Cycle on claim quality indicators and denial prevention strategies (e.g., medical review/ADR readiness).
• Design and deliver quality-focused training for onboarding and ongoing competency (documentation, OASIS, CoP standards, patient safety).
• Support leaders in implementing standardized workflows, checklists, and competency tools that sustain improvement.
• Other duties as assigned

SECURITY AND EEO STATEMENT

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

Primary Location

Texas-Dallas-5323 Harry Hines Blvd

Work Locations

5323 Harry Hines Blvd

Job

Professional & Executive

Organization

877376 - Home Health

Schedule

Full-time

Shift

Day Job

Employee Status

Regular

Job Type

Standard

Job Posting

Jul 3, 2026, 3:07:19 AM