RN Case Manager / Quality Assurance Nurse – Home Health

We are seeking an experienced Registered Nurse to join our home health team in a dual role as RN Case Manager and Quality Assurance Nurse. This position combines direct patient case management with clinical oversight and chart auditing, ensuring compliance with agency, state, and federal regulations.

Responsibilities

Case Management:

• Perform patient admissions, reassessments, supervisory visits, recertifications, and discharges
• Develop, review, and update individualized care plans
• Coordinate care with physicians, therapists, caregivers, and interdisciplinary team members
• Monitor patient progress and communicate changes in condition
• Ensure timely completion of clinical documentation
• Provide patient and caregiver education

Quality Assurance:

• Review clinical documentation for accuracy, completeness, and compliance
• Audit OASIS documentation and ensure consistency
• Monitor physician orders, care plans, visit frequencies, and supervisory visit compliance
• Identify documentation deficiencies and follow up with clinicians
• Assist with chart preparation for audits and surveys
• Support compliance with Medicare, ACHC/JCAHO, and state regulations
• Participate in performance improvement and quality assurance activities

Required Qualifications

• Active Florida Registered Nurse (RN) license
• Minimum 2–3 years of home health experience
• Strong knowledge of home health regulations and compliance
• Experience with Axxess software
• Excellent organizational and time management skills
• Strong attention to detail and chart review experience
• Ability to work independently and manage deadlines

Preferred Qualifications

• Previous QA or Clinical Manager experience
• Experience preparing charts for audits or accreditation surveys
• Knowledge of Medicare Conditions of Participation
• OASIS experience

Schedule

• Full-time, Monday–Friday
• On-call rotation may be required

Benefits

• Competitive salary
• Flexible scheduling
• Supportive clinical team
• Professional growth opportunities
• Mileage reimbursement (if applicable)