RN Quality Case Manager, Home Health (MO/IL)

Aging Well Health Care, LLC; St. Louis (MO); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K with 4% Match

Paid Time Off

Life Insurance

Short Term Disability

AD&D

Critical Illness

Job summary

AW Health Care seeks a dedicated Quality Case Manager (RN) to lead quality and clinical management of patients in MO/IL. You will develop care plans, monitor outcomes, and report on quality initiatives in collaboration with administrative staff.

Responsibilities include chart reviews, ensuring regulatory compliance, and coordinating quality improvement activities. Requires current MO license (or IL/compact) and experience in home health settings.

Qualifications

• Active RN license in MO or IL, or compact license valid in MO.
• Two years of home health management experience preferred.
• Understanding of Medicare reimbursement guidelines and other payors.
• Strong interpersonal and communication skills.
• Current licensure as a registered nurse in practicing state(s).
• Valid driver’s license and auto insurance.

Responsibilities

• Maintain knowledge of HIPAA regulations and compliance issues.
• Proficient with OASIS data and related documentation.
• Adhere to AW Health Care policies and procedures.
• Assist staff in reconsideration of denials and review trends.
• Coordinate Quality Improvement Plan and quarterly peer reviews.
• Provide education and orientation to new personnel and students.
• Ensure documentation quality and regulatory compliance across chart reviews and visits.

Skills

Home health management experience

Medicare guidelines knowledge

Interpersonal communication

Education

Graduation from an accredited school of nursing

Job description

AW Health Care seeks a dedicated Quality Case Manager (RN) to lead quality and clinical management of patients in MO/IL. You will develop care plans, monitor outcomes, and report on quality initiatives in collaboration with administrative staff.

Responsibilities include chart reviews, ensuring regulatory compliance, and coordinating quality improvement activities. Requires current MO license (or IL/compact) and experience in home health settings.