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

The Quality Care Manager is responsible for reviewing patient assessments to ensure appropriate and effective care is provided in compliance with agency policies, procedures, and regulatory requirements. This includes communicating effectively with the healthcare team and leadership, performing reviews of documentation and plans of care for accuracy and completeness, and confirming that all documentation supports skilled need and medical necessity. The QCM will reinforce agency processes by providing feedback to clinicians on documentation deficiencies or OASIS corrections, ensuring visit utilization is supported by patient assessments, and reviewing additional orders for appropriateness. They will confirm that clinical documentation supports Recertification/Discharge decisions, approve the final Plan of Care (485) timely, and review all OASIS assessments for inconsistencies, locking them promptly. Any identified trends or patterns of inaccuracy will be communicated to the Quality Director to aid in the development of performance improvement and education plans.