[Remote] Hospice Quality Care Manager (RN) at Mission Healthcare

Remote

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$80,000 – $100,000Compensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Home Health, HospiceIndustries

Requirements

Graduate of an accredited School of Nursing
Current unencumbered license to practice as a Registered Nurse in California (licensure in OR, UT, ID, and NV also required; support provided post-employment)
Minimum of 1 year of hospice experience with working knowledge of Medicare Hospice Conditions of Participation, HOPE Assessments, and Homecare Homebase
Excellent written and oral communication skills
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 and upper management

Responsibilities

Review documentation and Plan of Care for accuracy, completeness, and alignment with care focus, and physician face-to-face requirements
Ensure documentation supports skilled need, medical necessity, and appropriate visit utilization
Confirm clinical documentation supports recertification and discharge decisions
Review additional orders for appropriateness and locks HOPE assessments timely
Reinforce agency processes when providing feedback on documentation deficiencies or HOPE corrections
Maintain working knowledge of hospice regulations, CHAP standards, conditions of participation, and HOPE assessments
Partner with the Director of Quality and Education on initiatives to improve HOPE accuracy and patient outcomes
Utilize SHP data and manage SHP alerts to optimize performance through real-time analytics
Communicate effectively with the healthcare team, leadership, and other departments
Attend Case Conferences and department meetings as required
Ensure adequate workflow coverage across offices, including on-call rotation for holidays/weekends
Prioritize and complete all workflow tasks daily to prevent delays in care and support timely billing and month-end close
Demonstrate strong organizational skills, attention to detail, and problem-solving abilities
Follow up diligently on outstanding tasks and adhere to agency practices

Skills

Key technologies and capabilities for this role

RNHospice CareClinical DocumentationComplianceQuality AssurancePatient AssessmentsPlan of CareMedical NecessityRegulatory CompliancePerformance ImprovementHOPE Assessments

Mission Healthcare

Provides home-based healthcare services

About Mission Healthcare

Mission Healthcare provides home-based healthcare services, including home health, home care, and hospice care. Their services cater to patients who prefer receiving medical care at home, such as those recovering from surgery, individuals with chronic illnesses, and patients needing end-of-life care. The company operates through a network of eight operating companies that work closely with insurance providers, physician groups, and hospitals to ensure effective patient care. This collaboration allows Mission Healthcare to offer a wide range of services tailored to individual needs. Unlike many competitors, Mission Healthcare emphasizes personalized, high-quality care, which fosters strong relationships with clients and supports its financial stability. The goal of Mission Healthcare is to deliver exceptional patient-centered care that improves health outcomes for individuals in the comfort of their own homes.

San Diego, CaliforniaHeadquarters

2009Year Founded

GROWTH_EQUITY_VCCompany Stage

HealthcareIndustries

201-500Employees

Benefits

Health Insurance

Paid Vacation

Flexible Work Hours

Risks

Leadership change may lead to strategic shifts or instability.

AI-driven competitors like Medalogix pose a competitive threat.

Dependence on insurance reimbursements could affect financial stability.

Differentiation

Mission Healthcare offers comprehensive home-based care, including home health and hospice services.

The company collaborates with insurance providers and hospitals for seamless patient care.

Mission Healthcare focuses on personalized, high-quality care through a network of eight companies.

Upsides

Growing aging population increases demand for home healthcare services.

Telehealth integration enhances patient care and reduces costs.

Partnerships with tech companies can improve service offerings and operational efficiency.

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