Quality Assurance Nurse at Fanisi HR Solutions

Our client is a leading healthcare organization specializing in high-quality home healthcare services. They are committed to delivering patient-centered care while maintaining the highest standards of clinical quality, regulatory compliance and operational excellence. They are seeking to hire a Quality Assurance Nurse to support continuous quality improvement across their home health operations.

Key Responsibilities

• Conduct comprehensive clinical record reviews to verify documentation accuracy, quality of care, 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.
• Maintain compliance with agency quality assurance targets and support continuous monitoring of performance metrics.
• Promote effective communication and collaboration across multidisciplinary care teams.
• Perform other quality assurance and compliance-related duties as assigned.

Qualifications & Requirements

• Registered Nurse (RN) with a current and valid nursing license (preferred).
• Minimum of 2 years experience in Nursing or home healthcare, including at least 1 year in a Quality Assurance (QA) role.
• Experience in a home health agency and strong knowledge of home healthcare regulations is an added advantage.
• Strong knowledge of CMS guidelines, accreditation standards, and clinical documentation requirements.
• Experience conducting chart audits, compliance reviews, and quality improvement initiatives.
• Familiarity with OASIS, Electronic Medical Records (EMR), and home health billing documentation is highly desirable.
• Excellent analytical, organizational, communication, and problem-solving skills, with the ability to work independently and collaboratively.
• Must be proficient in written and spoken English.
• Must successfully pass a criminal background check.