Quality Assurance Nurse

About the role

The client is a leading home healthcare organization seeking a Quality Assurance Nurse to drive continuous quality improvement across its home health operations. The role focuses on ensuring clinical documentation accuracy, regulatory compliance, and high standards of patient care.

Key responsibilities

• Conduct comprehensive clinical record reviews to verify documentation accuracy, care quality, visit utilization, and adherence to care plans, agency policies, and regulatory requirements.
• Perform chart audits and quality assurance reviews to ensure compliance with home healthcare regulations, CMS guidelines, accreditation standards, and documentation requirements.
• Monitor quality indicators, identify trends, and recommend corrective actions to improve clinical documentation and service delivery.
• Develop and implement action plans to address identified compliance gaps and documentation inconsistencies.
• Collaborate with Clinical Managers and Administrators by providing regular quality assurance reports and recommendations for process improvements and staff development.
• Participate in quality improvement initiatives, staff orientation, and in‑service training programs.
• Ensure clinical documentation supports accurate reimbursement and meets organizational quality standards.

Required profile

• Registered Nurse (RN) with a current and valid nursing license (preferred).
• Minimum of 2 years of nursing experience, including at least 1 year in a Quality Assurance role.
• Experience in a home health agency and strong knowledge of home healthcare regulations is an advantage.
• Proficiency in written and spoken English and ability to pass a criminal background check.

Required skills

• OASIS
• Electronic Medical Records (EMR)
• Home health billing documentation
• Chart auditing
• Compliance review
• Quality improvement initiatives
• CMS guidelines
• Accreditation standards