[Remote] Quality Care Manager (QCM) Home Health / Registered Nurse (RN)

Note: The job is a remote job and is open to candidates in USA. Mission Healthcare is the largest home health and hospice company in the western United States, dedicated to providing compassionate care. The Quality Care Manager is responsible for reviewing patient assessments to ensure effective care is delivered in compliance with agency policies and regulatory requirements, while also communicating trends to the Quality Director for performance improvement. Responsibilities • Communicates effectively with all members of the health care team and maintains an effective collaborative relationship with the leadership team as well as other departments • Performs review of documentation and plan of care to ensure congruency with primary focus of care, physician face to face encounter, homebound status (if required) including utilization of appropriate disciplines • Confirms all documentation submitted to workflow is accurate and complete and sufficient to support skilled need and medical necessity • Reinforces agency processes when offering feedback to clinicians regarding documentation deficiencies or OASIS corrections • Make sure visit utilization is supported by individual patient assessment • Reviews additional orders for appropriateness • Confirms clinical documentation supports Recertification/Discharge decision • Approves the final Plan of Care (485) timely, confirming it is complete, accurate, and individualized to the patient’s needs • Reviews all OASIS assessments for inconsistencies and locks timely Skills • Must be a graduate of an accredited School of Nursing • Current unencumbered license to practice as a Registered Nurse (RN) • Minimum of 1 year of home health experience with a working knowledge of Medicare Home Health Conditions of Participation, and OASIS • Excellent written and oral communication skills required • Ability to handle stressful situations/deadlines • Strong computer and software skills with knowledge of Home Care Home Base highly preferred • Self-starter, goal directed with ability to work independently and stay focused without on-site supervision • Ability to communicate effectively with agency staff, upper management, and other members of the health care team • Strong computer and software skills with knowledge of Home Care Home Base highly preferred Company Overview • Mission Healthcare is a home health and hospice services provider. It was founded in 2009, and is headquartered in San Diego, California, USA, with a workforce of 1001-5000 employees. Its website is Apply tot his job