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Quality Care Manager (RN) - Hospice

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!

Are you looking for a Remote opportunity in Quality Care Management? 

Our Hospice team is growing and looking for an Registered Nurse to add to the team. Combing your skills in both Hospice bedside care and management.

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.
 
Responsible for processing and reviewing clinical documentation- RN license in CA, and Compact license needed

Essential Job Functions/Responsibilities:

    • Reviews electronically submitted documentation and provide feedback to clinicians regarding deficiencies or Hospice Item Set (HIS) corrections to ensure the medical record reflects compliance with hospice eligibility guidelines.
    • Ensures visit utilization is supported by individual patient assessment
    • Reviews additional orders for appropriateness and compliance
    • Ensures clinical documentation accurately reflects recertification/discharge decisions. Prepares hospice CTI/recertification workflow prior to IDG meetings.
    • Reviews and approves Initial Hospice Plan of Care within HCHB
    • Reviews HIS for inconsistencies and locks timely
    • Collaborates with clinicians as necessary regarding documentation
    • Partners with the Quality Director on a variety of quality initiatives and attends quarterly QAPI meetings 
    • Monitors performance improvement initiatives regarding patient outcomes
    • Maintains working knowledge of hospice regulations, conditions of participation and HIS

Position 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 hospice experience with a working knowledge of Title XX11, Medicare Hospice Conditions of Participation, and HIS
    • 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 a plus.
$85,000 - $90,000 a year
Let better growth come to you.

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.


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Mission Healthcare

Category

Management

Employment type

Full-Time

Location

Remote

Salary range

$85,000 - $90,000

Posted

1 day ago

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