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

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!

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. Home Care Home Base (HCHB) preferred. Pay range (depending on experience): $80-95k annual salary Schedule: M-F States eligible to hire: AZ, FL, IA, ID, IL, MS, NC, NV, OR, SC, TN, TX, UT, VA, WA

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.