Quality Care Manager (QCM) Home Health / Hospice

Remote

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Home Health, Hospice, HealthcareIndustries

Requirements

Candidates must be a graduate of an accredited School of Nursing with a current, unencumbered RN license. A minimum of 1 year of home health experience is required, along with a working knowledge of Title XXII, Medicare Home Health Conditions of Participation, and OASIS. Excellent written and oral communication skills, the ability to handle stressful situations and deadlines, and strong computer skills are essential. Proficiency with Home Care Home Base software is highly preferred. The ideal candidate is a self-starter, goal-oriented, capable of working independently, and able to communicate effectively with agency staff, upper management, and the healthcare team.

Responsibilities

The Quality Care Manager is responsible for reviewing patient assessments to ensure appropriate and effective care in compliance with agency policies and regulatory requirements. This includes communicating effectively with the healthcare team and leadership, reviewing documentation for accuracy and completeness to support skilled need and medical necessity, and reinforcing agency processes with clinicians. The QCM will ensure visit utilization is supported by patient assessments, review additional orders for appropriateness, confirm clinical documentation supports recertification/discharge decisions, and approve the final Plan of Care (485) timely. They will also review all OASIS assessments for inconsistencies and lock them promptly. Any identified trends or patterns of inaccuracy will be communicated to the Quality Director to aid in performance improvement and education plans.

Skills

Patient Assessment

Care Planning

Documentation Review

Regulatory Compliance

Healthcare Team Communication

OASIS

Medical Necessity

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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