Quality Assurance (QA) Manager - Home Health (with Kinnser Experience)
CARE FIRST HOME HEALTH CARE INC
Job Description
Job Description
Benefits:
- 401(k)
- Competitive salary
- Flexible schedule
Position Summary:
The RN - Quality Assurance (QA) Manager is responsible for overseeing the clinical and documentation quality within the Home Health Agency. This role ensures compliance with Medicare, state, and accreditation standards while maintaining high-quality patient outcomes. The QA Manager must have hands-on experience reviewing documentation and OASIS submissions within Kinnser (WellSky) EMR . Key Responsibilities:
- Oversee the QA process for all home health documentation including SOC, ROC, Recert, and Discharge notes.
- Review OASIS assessments for accuracy, consistency, and compliance prior to submission.
- Ensure Plans of Care (POC/485) are completed accurately and timely.
- Conduct chart audits to ensure documentation supports medical necessity and billing compliance.
- Communicate with field clinicians to resolve discrepancies and provide feedback/training as needed.
- Collaborate with clinical managers to improve staff performance and documentation quality.
- Monitor and ensure timely submission of OASIS, physician orders, and visit documentation.
- Track clinical indicators and participate in Quality Assurance Performance Improvement (QAPI) meetings.
- Stay updated on Medicare, CMS, and state regulations related to Home Health compliance.
- Provide regular reports to the Administrator and DON regarding audit findings and corrective actions.
- Active Registered Nurse (RN) license in California.
- Minimum 1–3 years of experience in Home Health QA/Compliance.
- Hands-on experience using Kinnser (WellSky) EMR .
- Strong understanding of OASIS, PDGM, Plan of Care, and CMS regulations.
- Excellent attention to detail and ability to identify documentation gaps.
- Strong leadership, analytical, and communication skills.
- Knowledge of HIPAA, ADR, and medical review processes.
- Previous supervisory or training experience in home health settings.
- Ability to design and implement QA improvement initiatives.
Vacancy posted 29 days ago
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