Quality Assurance Specialist; RN) Home Health

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12 days ago Requisition

About Elite Home Health

Elite Home Health is a clinician-owned and operated organization serving communities across Florida for over a decade. We are committed to delivering high-quality, patient-centered care while creating a supportive environment where our team members can grow professionally and feel valued in their work.

We believe exceptional patient care begins with exceptional people. That's why we're committed to supporting, developing, and investing in our team so they can make a meaningful difference in the lives of the patients and communities we serve.

Position Summary

The RN Quality Assurance Specialist is responsible for supporting clinical quality, regulatory compliance, documentation accuracy, and survey readiness across the organization. Utilizing professional nursing judgment and home health expertise, this position reviews clinical documentation, OASIS assessments, plans of care, orders, and other patient records to ensure accuracy, clinical appropriateness, and compliance with Medicare Conditions of Participation (CoPs), applicable state and federal regulations, accreditation standards, and agency policies.

This position works closely with clinical leadership, field clinicians, and interdisciplinary teams to identify opportunities for improvement, provide education and feedback, support QAPI initiatives, and promote high-quality patient care and positive outcomes in the home health setting.

Key Responsibilities

• Review clinical records for completeness, accuracy, consistency, timeliness, clinical appropriateness, and regulatory compliance
• Review OASIS assessments for accuracy and consistency with the patient's clinical condition, supporting documentation, and plan of care
• Review plans of care, orders, assessments, visit documentation, and other clinical records to identify documentation gaps, discrepancies, or compliance concerns
• Evaluate documentation to ensure it supports skilled need, medical necessity, services provided, and the patient's ongoing home health plan of care, as applicable
• Monitor compliance with Medicare Conditions of Participation (CoPs), OASIS requirements, applicable federal and Florida regulations, accreditation standards, and agency policies
• Support ongoing readiness for ACHC surveys, Medicare audits, regulatory inspections, and other compliance reviews
• Identify clinical documentation and compliance deficiencies and collaborate with clinical leadership and staff to ensure appropriate follow-up and resolution
• Provide education, coaching, and feedback to clinicians regarding OASIS, documentation standards, regulatory requirements, and identified opportunities for improvement
• Support the agency's Quality Assessment and Performance Improvement (QAPI) program by monitoring quality indicators, clinical outcomes, compliance metrics, and performance trends
• Assist with the development, implementation, and monitoring of corrective action plans and performance improvement initiatives
• Review trends related to hospitalizations, rehospitalizations, adverse events, complaints, infection control, patient outcomes, and other quality measures as assigned
• Prepare quality assurance reports, audit summaries, trend reports, and compliance updates for leadership review
• Participate in QAPI meetings, quality reviews, staff meetings, and required in-services
• Collaborate with clinical, intake, scheduling, billing, and operational teams to support quality patient care and regulatory compliance
• Escalate significant clinical, patient safety, regulatory, or compliance concerns to appropriate leadership
• Maintain accurate and organized records related to audits, compliance reviews, corrective actions, and quality improvement activities
• Maintain confidentiality of patient, employee, and agency information in accordance with HIPAA and agency policies
• Promote a culture of patient safety, accountability, regulatory compliance, and continuous improvement

Qualifications

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program required
• Current, unrestricted Registered Nurse (RN) license in the State of Florida required
• Minimum of two (2) years of clinical experience in Medicare-certified home health required
• Home health OASIS experience required
• Strong knowledge of…