Compensation: $75,000.00 - $80,000.00

The base compensation range for this role is fixed, with a maximum cap of $80,000.00. We want to be transparent about this as we continue discussions.

Monday-Friday, 8AM-5PM, fully remote

Medical Benefits: Health, Vision, & Dental

Retirement: 401K & Pension w/ 4% Employer Contribution

PTO: 15 Days

Graham Healthcare Group is hiring a Quality Assurance Registered Nurse to join our dynamic team. Quality Assurance Registered Nurse will be accountable for reviewing, editing and completing quality documentation of patient medical documentation, ensuring all regulatory and best practice quality documentation, survey readiness of documentation, measuring, monitoring, and managing quality of patient documentation, as well as achievement of key performance indicators. Expert source for Medicare conditions of participation, company policy, and Medicare management. This position can sit remote.

Quality Assurance Registered Nurse Job Responsibilities:

• Responsible for quality-driven review of documentation of care center staff members, including the Comprehensive Admission Assessment, starts of care, Certification of Terminal Illness, HIS and other related documents, ensuring appropriateness of care, delivery and documentation requirements are met.
• Ensures the assignment of the appropriate clinical pathways on the plan of care
• Ensures missing, incomplete, and/or untimely documentation issues are resolved. Ensures benefit periods are assigned accurately.
• Ensures communication of changes in the plan of care are documented completely and correctly.
• Participates in quality assurance activities designed to improve the quality and continuity of patient care. Performs chart audits and other activities of data collection.
• Responds to Additional Documentation Requests/Denials as directed.
• Performs chart audits as directed to monitor documentation and patient clinical records to ensure compliance with agencies policies and procedures and all regulatory inspection agencies.
• Keeps abreast of nursing trends and knowledge.
• Exceptional attention to detail
• Strong knowledge of regulatory guidelines and best practices
• Focused Quality attention
• Performs other related duties as assigned or requested.
• Demonstrates initiative and skills in planning and organizing work. Cooperates with scheduling requests to meet department needs.
• Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. Completes work with accuracy and within department time frames. Is flexible to changes in duties and responsibilities.

Quality Assurance Registered Nurse Qualification Requirements:

• Associate or bachelor’s degree in nursing preferred.
• Current, unencumbered license to practice as a Nurse specific to that state the employee is assigned to work by the company.
• Demonstrated knowledge of the appropriate skills for communicating with individuals of all ages. Excellent interpersonal skills including verbal and written communication skills.
• Demonstrates knowledge of Federal/State rules and regulations, , NHPCO and other regulatory requirements.
• One (1+) year of nursing experience in a Hospice or Home Health environment.
• Must be familiar with general use and functions of the computer, such as, usernames and password concepts; internet; e-mail; navigation of computer desktop, including starting programs, using files, and windows, effectively use navigation buttons and toolbars; ability to self-manage online HR services and online training programs.
• Hospice certified coder, preferred
• Experience with state/CMS Survey Process, preferred

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join the Graham Healthcare Group and enjoy the following benefits:

• Competitive Pay: With opportunity for advancement 
• Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from. 
• Supplemental Benefits: Company-paid life insurance and disability benefits.  Also, pre-tax FSA and HSA plans are offered. 
• Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day. 
• Retirement: Save for your future with our company offered 401k and Company Contribution Plan.
• Company-Paid Education Programs:  Grow your career by taking advantage of discounts on tuition for selected courses offered by Purdue and Kaplan. 

 Benefits may vary based on your employment status.