Quality Assurance Nurse

About the role

The Quality Assurance Nurse will ensure that clinical documentation and care delivery meet the highest standards of accuracy, compliance, and quality. Working within a home‑health setting, you will support the organization’s commitment to safe, effective patient care and proper reimbursement.

Key responsibilities

• Conduct comprehensive clinical record reviews to verify documentation accuracy, quality of care, and adherence to care plans and agency policies.
• Perform chart audits and quality assurance reviews in line with home‑health regulations, CMS guidelines, and accreditation standards.
• Monitor quality indicators, identify trends, and recommend corrective actions to improve documentation and service delivery.
• Develop and implement action plans to address compliance gaps and documentation inconsistencies.
• Provide regular QA reports and recommendations to Clinical Managers and Administrators.
• Participate in quality improvement initiatives, staff orientation, and in‑service training programs.
• Ensure documentation supports accurate reimbursement and meets organizational quality targets.

Required profile

• Registered Nurse (RN) with a current, valid nursing license (preferred).
• Minimum 2 years of nursing or home‑health experience, including at least 1 year in a QA role.
• Strong knowledge of home‑health regulations, CMS guidelines, and accreditation standards.
• Ability to work independently and collaboratively, with excellent analytical and problem‑solving skills.
• Proficiency in written and spoken English and successful completion of a criminal background check.

Required skills

• OASIS
• Electronic Medical Records (EMR)
• Home health billing documentation