Quality Assurance (QA) Manager – Home Health (with Kinnser Experience)
CARE FIRST HOME HEALTH CARE INC Quality Assurance (QA) Manager – Home Health (with Kinnser Experience)
Description
- 401(k)
- Competitive salary
- Flexible schedule
Position Summary:
- 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.