Quality Assurance Registered Nurse; RN Remote | DFW) Residents

Performance Home Health is seeking an experienced, detail-oriented Quality Assurance Registered Nurse to join our growing team.
This is a fully remote position; however, candidates MUST reside in Texas to be considered. In this role, you will review clinical documentation to ensure accuracy, completeness, timeliness, and compliance with Medicare regulations, agency policies, and payer requirements. The ideal candidate is highly organized, self-motivated, and able to work independently while maintaining strong communication and collaboration with clinical staff. This position plays a critical role in supporting quality patient care, regulatory compliance, and timely reimbursement.

• Review clinical documentation, including Start of Care (SOC), Recertifications, Discharges, Therapy Evaluations, Re-evaluations, and routine skilled nursing visits for accuracy, completeness, and regulatory compliance.
• Ensuring documentation clearly supports the patient's skilled need, homebound status, interventions, and continuity of care.
• Verify visit frequencies, physician orders, and Plan of Care (POC) are accurate and aligned.
• Return documentation requiring corrections within 24 hours to support timely processing and billing.
• Monitor compliance with documentation submission requirements:
• 24 hours for Start of Care (SOC) and Recertifications
• 48 hours for routine clinical visits
• Identify documentation trends, deficiencies, and compliance concerns, and provide constructive feedback and education to clinicians.
• Collaborate with Clinical Managers, Case Managers, Therapy, Intake, and Billing departments to promote workflow efficiency and regulatory compliance.
• Review discharge documentation to ensure all required assessments and discharge summaries are completed.
• Maintain clear, professional communication with clinicians regarding documentation corrections and follow-up.
• Support agency quality improvement initiatives through ongoing documentation review and education.
• Maintain strict compliance with HIPAA regulations and agency confidentiality standards.

• Active Registered Nurse (RN) license in Texas or a Compact Multistate License.
• Must have a minimum of 2 years of full-time Home Health Quality Assurance (QA) experience.
• Must have a minimum of 2 years of recent home health nursing experience.
• Must have a minimum of 1 year of home health coding experience.
• Ability to work independently with minimal supervision while managing multiple priorities.
• Strong organizational, computer, and time management skills.
• Experience using Kan Time or other home health Electronic Medical Record (EMR) systems.
• Experience providing clinician education and documentation feedback.

• OASIS documentation and home health documentation standards.

• Exceptional attention to detail.
• Strong analytical, critical thinking, and problem-solving abilities.
• Excellent written and verbal communication skills.
• Ability to manage a high-volume workload while meeting deadlines.
• Strong understanding of home health regulations, coding principles, and compliance requirements.
• Collaborative mindset with the ability to build positive working relationships across departments.
• High level of accountability, professionalism, and integrity.

• The successful candidate will consistently:
• Maintain a high level of documentation accuracy and regulatory compliance.
• Reduce documentation deficiencies through timely and thorough chart reviews.
• Support timely billing by ensuring documentation is reviewed and returned promptly.
• Meet established productivity and quality benchmarks.
• Demonstrate professionalism, accountability, and reliability while working remotely.
• Contribute to continuous quality improvement initiatives.
• Remote | Texas Residents Only
• Reliable high-speed internet and a dedicated, distraction-free home office are required.
• Availability during standard business hours.
• Daily communication through Microsoft Teams, email, and phone.
• Participation in virtual meetings, training sessions, and departmental collaboration is required.

At Performance Home Health, quality patient care begins with quality clinical documentation. We foster a collaborative and supportive environment where accountability, teamwork, and excellence are valued.

• Supportive and collaborative leadership.
• Clearly defined expectations and structured workflows.
• Opportunities for…