Hospice Quality Care Manager (CA RN Required)

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

Pay range: CA - $90-$100K annually, all other states - $80-$90K Shifts: Tuesday - Saturday, 8a-5p PST Location: May reside in any of the following states, but must be willing to work west coast hours: Arizona California Idaho Illinois Nevada Oregon Texas Utah Washington The Quality Care Manager is responsible for reviewing patient assessments to ensure appropriate and effective care is provided to each patient in compliance with agency policies, procedures, and regulatory requirements. Trends or patterns of inaccuracy identified by the QCM will be communicated to the Quality Director to assist in the development of the performance improvement and education plan.

Clinical Documentation & Compliance: Review documentation and Plan of Care for accuracy, completeness, and alignment with care focus, and physician face-to-face requirements. Ensure documentation supports skilled need, medical necessity, and appropriate visit utilization. Confirm clinical documentation supports recertification and discharge decisions. Review additional orders for appropriateness and locks HOPE assessments timely. Reinforces agency processes when providing feedback on documentation deficiencies or HOPE corrections. Quality & Regulatory Oversight: Maintains working knowledge of hospice regulations, CHAP standards, conditions of participation, and HOPE assessments. Partners with the Director of Quality and Education on initiatives to improve HOPE accuracy and patient outcomes. Utilizes SHP data and manages SHP alerts to optimize performance through real-time analytics. Collaboration & Communication: Communicates effectively with the healthcare team, leadership, and other departments. Attends Case Conferences and department meetings as required. Ensures adequate workflow coverage across offices, including on-call rotation for holidays/weekends. Workflow & Operational Excellence: Prioritizes and completes all workflow tasks daily to prevent delays in care and support timely billing and month-end close. Demonstrates strong organizational skills, attention to detail, and problem-solving abilities. Follows up diligently on outstanding tasks and adheres to agency practices.