Quality Assurance Nurse at Optimal Care, Inc

Jackson, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Dec, 25

Salary

0.0

Posted On

29 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality Assurance, Regulatory Compliance, ICD-10 Coding, Health Care Management, Hospice Care, Decision Making, Financial Management, Interpersonal Skills, Communication, Staff Education, Audit, Workflow Management, Patient Care, QAPI Program Development, Clinical Integrity, Chronic Disease Management

Industry

Hospitals and Health Care

Description

Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program Flexible Work Schedule Mentorship Culture Medical, Dental, and Vision Insurance 401(k) Retirement Plan Mileage Reimbursement Cutting Edge Technology Key Responsibilities Quality Assurance Nurses are responsible for directing the regulatory needs to promote and maintain clinical integrity and regulatory compliance with state and federal regulatory requirements. The Quality Assurance Nurse is also responsible for the development and management of the organization’s quality initiatives and improvement. In this role you will be responsible for: Creating organizational awareness of regulatory compliance Communicating significant findings, problems, & changes related to compliance standards & regulations to the Chief Clinical Officer and other personnel Reviewing Start of Care (SOC) assessments for thoroughness and accuracy – apply diagnosis codes applicable to the patient’s condition and disease process using ICD-10 coding guidelines and regulations. Processing re-certifications, death visits and adding orders according to hospice regulations and guidelines in a timely and efficient manner Assisting with tracking to ensure timely billing and meeting regulatory guidelines Audit medical records Managing workflow, identifying problematic sequencing and providing solutions to avoid impact on patient care activities Assuring clinical notes indicate continuing communication and coordination of services with the physician, other staff and disciplines Writing orders to ensure staff are available for end of life care Assisting in the development and design of the QAPI program Required Qualifications Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Current State License as a Registered Nurse 3 years of health care management and 2 years experience in hospice care Demonstrates proven decision making and financial management skills Exhibits working knowledge of regulations and reimbursement in home health care as well as proven leadership abilities in staff education Demonstrates skill in nursing practice, ability to cope with ill, disabled, terminal patients, family emotional stress and tolerance of individual lifestyles Requires demonstrated interpersonal, with ability to communicate effectively Current and valid Driver’s License Reliable transportation and valid automobile insurance coverage Desired Qualifications BA/BSN preferred Quality assurance experience preferred ICD10 coding certification is preferred and required within one year of hire Familiarity with Home Care Home Base (HCHB) Location Home Office: 801 Rosehill Road, Jackson, MI 49202 Work Location: Remote Hours Office Hours: 8:00 am – 5:00 pm, Monday through Friday Background Screening Optimal Care conducts a background screening upon acceptance of a contingent job offer. Background screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Equal Opportunity Employer Optimal Care is an equal-opportunity employer.

Responsibilities

Quality Assurance Nurses ensure regulatory compliance and promote clinical integrity. They manage quality initiatives and communicate compliance-related findings to leadership.