RN QA Manager: Elevate Home Health Quality & Compliance

CARE FIRST HOME HEALTH CARE INC; Simi Valley (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k)

Competitive salary

Flexible schedule

Job summary

CARE FIRST HOME HEALTH CARE INC is seeking an RN QA Manager to oversee clinical and documentation quality in a California home health agency, ensuring Medicare, CMS, and state compliance while promoting patient outcomes.

The role requires hands-on review of OASIS, PDGM, Plans of Care, and DCMs using Kinnser (WellSky) EMR, with strong leadership and collaboration with field staff and clinical managers to improve documentation and audit results.

Qualifications

• Active RN license in California.
• 1–3 years of Home Health QA/Compliance experience.
• Hands-on experience using Kinnser (WellSky) EMR.
• Strong knowledge of OASIS, PDGM, Plans of Care, CMS regulations.
• Excellent attention to detail and ability to identify documentation gaps.
• Strong leadership, analytical, and communication skills.

Responsibilities

• Oversee the QA process for all home health documentation including SOC, ROC, Recert, and Discharge notes.
• Review OASIS assessments for accuracy, consistency, and compliance prior to submission.
• Ensure Plans of Care (POC/485) are completed accurately and timely.
• Conduct chart audits to ensure documentation supports medical necessity and billing compliance.
• Communicate with field clinicians to resolve discrepancies and provide feedback/training as needed.
• Collaborate with clinical managers to improve staff performance and documentation quality.
• Monitor and ensure timely submission of OASIS, physician orders, and visit documentation.
• Track clinical indicators and participate in Quality Assurance Performance Improvement (QAPI) meetings.
• Stay updated on Medicare, CMS, and state regulations related to Home Health compliance.
• Provide regular reports to the Administrator and DON regarding audit findings and corrective actions.

Tools

Kinnser (WellSky) EMR

Job description

CARE FIRST HOME HEALTH CARE INC is seeking an RN QA Manager to oversee clinical and documentation quality in a California home health agency, ensuring Medicare, CMS, and state compliance while promoting patient outcomes.

The role requires hands-on review of OASIS, PDGM, Plans of Care, and DCMs using Kinnser (WellSky) EMR, with strong leadership and collaboration with field staff and clinical managers to improve documentation and audit results.