Home Health Quality Assurance RN

Job Description

Job Description

Benefits:

• Competitive salary
• Flexible schedule

Home Health Quality Assurance RN
Required Qualifications

Candidates must possess ALL of the following qualifications to be considered:

• Active Illinois Registered Nurse (RN) license in good standing
• Minimum three (3) years of recent Medicare-certified home health experience
• Extensive OASIS-E knowledge and experience
• Advanced proficiency with Axxess Home Health software
• Strong understanding of Medicare Conditions of Participation and home health regulatory requirements

Position Summary

Luxe Home Health is seeking an experienced Home Health Quality Assurance RN to support our Illinois operations. This is a hybrid position responsible for reviewing clinical documentation, auditing OASIS assessments, ensuring regulatory compliance, and supporting quality improvement initiatives.

The ideal candidate is a highly skilled home health clinician who can work independently, identify documentation deficiencies, recognize compliance risks, and provide meaningful recommendations to improve clinical quality and patient outcomes.

This position follows a hybrid work schedule, with three (3) days working remotely from home and two (2) days required in our Des Plaines office each week . Regular in-person attendance is an essential function of the position and will include reviewing workload, discussing findings, and collaborating with leadership on quality initiatives.

Essential Duties and Responsibilities

Quality Assurance & Compliance

• Conduct comprehensive clinical chart audits to ensure accuracy, completeness, and regulatory compliance
• Review OASIS assessments and supporting documentation for quality and consistency
• Monitor compliance with Medicare Conditions of Participation, Illinois regulations, and agency policies
• Identify documentation deficiencies and compliance concerns and provide recommendations for correction
• Assist with quality improvement and performance improvement initiatives
• Support agency readiness for audits, surveys, and accreditation reviews
• Track, trend, and report quality findings and documentation outcomes

Clinical Documentation Review

• Review Plans of Care, physician orders, visit notes, recertifications, transfers, resumptions of care, and discharge documentation
• Ensure documentation supports medical necessity, homebound status, and skilled need requirements
• Verify timely completion and submission of clinical documentation
• Monitor documentation trends and identify opportunities for clinician education and process improvement
• Promote consistency and accuracy throughout the clinical record

Collaboration & Operational Support

• Collaborate with agency leadership to improve documentation quality and regulatory compliance
• Participate in regular in-person and virtual meetings to review workload, findings, and quality metrics
• Assist in developing and maintaining quality assurance processes and best practices
• Support ongoing efforts to improve clinical outcomes and operational efficiency

Preferred Qualifications

• Previous Quality Assurance, Clinical Review, Clinical Manager, Clinical Team Manager, or Director of Nursing experience in home health
• Experience preparing for CHAP, ACHC, or state regulatory surveys
• Experience with quality improvement and performance improvement programs

Knowledge, Skills, and Abilities

• Exceptional attention to detail
• Strong critical thinking and clinical judgment
• Excellent written and verbal communication skills
• Strong organizational and time-management abilities
• Ability to work independently with minimal supervision
• Ability to manage multiple priorities and meet deadlines

Working Conditions

• Hybrid work environment
• Three (3) days per week working remotely from home
• Two (2) days per week required in the Des Plaines office
• Flexible schedule within established business and operational requirements
• Regular collaboration with clinical and agency leadership
• Employment is ongoing and based on agency needs

Why Join Luxe Home Health?

• Competitive compensation
• Flexible hybrid work schedule
• Three remote/work-from-home days per week
• Collaborative and supportive leadership team
• Opportunity to make a direct impact on clinical quality, compliance, and patient outcomes

Luxe Home Health is an Equal Opportunity Employer.

Experience

• Home health: 3 years (Required)
• Axxess: 1 year (Required)
• OASIS: 1 year (Required)

License/Certification

• RN License (Required)

Work Location

Hybrid — Des Plaines, IL 60018

Schedule: 3 days remote/work-from-home and 2 days required in the office each week

Flexible work from home options available.