[Remote] Quality Care Manager (QCM) Home Health / Registered Nurse (RN) at Mission Healthcare

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$80,000 – $95,000Compensation

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 (RN)
Minimum of 1 year of home health experience with working knowledge of Medicare Home Health Conditions of Participation and OASIS
Excellent written and oral communication skills
Ability to handle stressful situations/deadlines
Strong computer and software skills, with knowledge of Home Care Home Base (HCHB) highly preferred
Self-starter, goal-directed, able to work independently without on-site supervision
Ability to communicate effectively with agency staff, upper management, and other members of the health care team

Responsibilities

Communicates effectively with all members of the health care team and maintains effective collaborative relationships with the leadership team and 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), and utilization of appropriate disciplines
Confirms all documentation submitted to workflow is accurate, complete, and sufficient to support skilled need and medical necessity
Reinforces agency processes when offering feedback to clinicians regarding documentation deficiencies or OASIS corrections
Ensures 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 them timely
Reviews patient assessments to ensure appropriate and effective care in compliance with agency policies, procedures, and regulatory requirements
Communicates trends or patterns of inaccuracy to the Quality Director to assist in developing the performance improvement and education plan

Skills

Registered Nurse (RN)

Home Health

OASIS

Quality Assurance

Patient Assessment

Documentation Review

Home Care Home Base (HCHB)

Healthcare Compliance

Performance Improvement

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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