Quality Care Manager (QCM) Home Health / Hospice
Remote
Mission Healthcare Services – Clinical Services & Quality Assurance /
Full-Time /
Remote
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!
Position Objective:
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.
Key Responsibilities:
- 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.
Qualifications:
- Must be a graduate of an accredited School of Nursing
- Current unencumbered license to practice as a Registered Nurse
- Minimum of 1 year of home health experience with a working knowledge of Title XX11, Medicare Home Health Conditions of Participation, and OASIS
- Excellent written and oral communication skills required.
- Ability to handle stressful situations/deadlines.
- Strong computer and software skills with knowledge of Home Care Home Base highly preferred.
- Self-starter, goal directed with ability to work independently and stay focused without on-site supervision.
- Ability to communicate effectively with agency staff, upper management, and other members of the health care team.
$85,000 - $105,000 a year
See what Mission has to offer! Click Here!
At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.
Equal Opportunity:
We are proud to be an equal-opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need.
Accessibility Commitment:
We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.
Inclusion Efforts:
We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.
Your Voice Matters:
Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.
