Quality Assurance Specialist Home Health
Job in
Chapel Hill, Orange County, North Carolina, 27517, USA
Listing for:
UNC Health Care
Full Time
position
Listed on 2026-02-03
Job specializations:
-
Nursing
Clinical Nurse Specialist, RN Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 30.73 - 44.18 USD Hourly
USD
30.73
44.18
HOUR
Job Description & How to Apply Below
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well‑being of the unique communities we serve.
Summary
The RN Quality Assurance Specialist will oversee the clinical documentation of the direct care clinical staff to ensure it is compliant with Medicare, Medicaid/state/federal regulations, and agency policies and guidelines; works closely with the Performance Improvement (PI) coordinator and agency educator to identify areas of education as needed; provides guidance and education to field staff regarding accurate, thorough documentation; ensures timely submission and approval of the patient’s plan of care and provider orders to ensure compliance with state and federal regulations.
Responsibilities
Demonstrates working knowledge of regulatory and provider guideline, updating knowledge base continuously through self‑study and in‑service attendance. Maintains awareness of current payor provider agreements in order to complete 485 and OASIS appropriately.Assesses and interprets patient data as needed to provide guidance to Case Managers on patient needs relative to his/her age and conditions. Consults with patient case managers/team leaders for care coordination as necessary.Promotes and maintains interpersonal communication with all team members, clinicians and physicians.Demonstrates ability to educate, develop and stimulate the professional growth and development of staff members. Serves as clinical resource to home health staff as well as physicians and their office staff as related to home care services, orders and diagnoses.Identifies staff educational needs to ensure safe and effective patient clinical management. Recommends, plans and/or participates in staff development programs for employees.Ensures that all patient OASIS assessments are submitted by staff and that they are complete and compliant with Medicare/Medicaid/state/federal regulations and agency policy.Responsible for reviewing patient assessments for completeness, locking and submitting the assessment per regulatory guidelines. This includes, but is not limited to: coding and diagnoses, patient short and long‑term goals with endpoints for all services, orders/goals for all disciplines, and notifies the clinical staff of assessment revisions as needed.Manages the implementation of nursing process to ensure quality of patient care delivery and monitors outcomes of care as appropriate.Participates in employee educational programs to improve the quality of the patient plan of care and OASIS assessments.Meets or exceeds daily assessment review productivity.Works with the Quality Manager and Director in the development and implementation of departmental goals and standards.Audits patient records for completeness of documentation and adherence with agency, organizational, state and federal regulations and payor requirements.Provides quality review (QA) related education and assessment review with new staff during onboarding and orientation, or as indicated.Provides for other duties or tasks as assigned.Education Requirements
- Bachelor’s degree in Nursing (BSN) from a state‑accredited school of professional nursing
Licensure/Certification Requirements
- Current RN license to practice in NC
- Must be OASIS Certified (HCS‑O, COS‑C) or obtain certification within one (1) year of employment
- Adult CPR
Professional Experience Requirements
- If a Bachelor’s degree: requires four (4) years of related experience and/or training.
- A minimum of two (2) years of experience in Home Health.
Knowledge/Skills/and Abilities Requirements
- Must be professional with effective critical thinking and problem‑solving skills.
- Strong interpersonal and communication skills for cross‑department collaboration.
- Strong team player with high attention to detail that can adapt easily to continuous change.
Job Details
Legal
Employer:
STATE
Entity: UNC Medical Center
Organization Unit: UNCH Home Health Administration
Work Type:
Full Time
Standard Hours Per Week: 40.00
Salary Range: $30.73 - $44.18 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type:
Hybrid
Work Schedule:
Day…
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