Job Overview
The Quality Assurance Coordinator ensures the accuracy, completeness, and compliance of all patient clinical records, including OASIS assessments and Plans of Care (485). Operating under California Title 22 regulations and Medicare Conditions of Participation, this role protects patient safety and mitigates agency compliance risks. This part-time position offers a flexible schedule (20 hours per week) with the potential to transition into a full-time role based on performance and agency needs.
Schedule
Mon-Fri, 10 am - 2 pm PST (20 hours per week)
Responsibilities
- Review all patient charts — OASIS, Plan of Care (485), physician orders, skilled nursing and therapy visit notes, and home health aide care plans — for accuracy, completeness, and internal consistency.
- Verify that clinical documentation aligns across disciplines (e.g., visit notes match the active POC and physician orders) and that frequency/duration of visits reflects what was ordered and delivered.
- Identify missed, expired, unsigned, or unclocked physician orders and route them for timely follow-up and resolution.
- Confirm OASIS data is complete, internally consistent, and submitted within required timeframes per Title 22 and CMS guidelines.
- Audit charts for required signatures, dates, and timely completion per Title 22 clinical record requirements (Cal. Code Regs. tit. 22, Division 5, Chapter 8).
- Flag discrepancies, late documentation, or missing recertifications, and communicate findings to clinicians, supervisors, and administration for correction.
- Track and trend QA findings to identify recurring documentation issues and recommend process or training improvements.
- Maintain organized, audit-ready records in preparation for state surveys, Medicare/Medicaid audits, and internal compliance reviews.
- Support timely chart closure for recertification, resumption of care, discharge, and transfer episodes.
- Collaborate with the Director of Patient Care Services / Clinical Manager on corrective action plans when deficiencies are identified.
- Maintain strict patient confidentiality in accordance with HIPAA and agency policy.
Requirements
- Mandatory Requirements: Active, unencumbered Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license AND Office Home Health experience.
- Ideal Candidate Profile: The most preferred candidate is a nurse with home health quality assurance experience.
- Preferred but NOT Mandatory: Experience with California Title 22 home health regulations, OASIS, Medicare Conditions of Participation, and Data Soft Logic (DSL) EMR.
- Prior chart auditing, utilization review, or QA/QI experience in a home health setting is preferred.
- Strong attention to detail and ability to identify documentation discrepancies quickly and accurately.
- Excellent organizational and time-management skills; able to manage a recurring caseload of chart reviews within a part-time schedule.
- Clear, professional written and verbal communication for coordinating with clinicians and administrative staff.
- Comfortable working independently in a remote or hybrid capacity while meeting deadlines.
Independent Contractor Perks
Permanent work from home
Immediate hiring
Note
Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.