RN Quality Assurance Clinical Manager, Home Health

Become a part of our caring community and help us put health first

Reports To:

Associate Director, Home Health Branch Administrator
FLSA:
Exempt

Work Schedule :
Full-time/40 Hours

Position Type :
On-site

Branch Location :
Aiken, SC

* This is an on ‑
site position located at our Aiken, SC branch.

* Remote, work-from-home, and hybrid work arrangements are not supported for this role.

The RN QA Clinical Manager will play a critical role in ensuring clinical documentation and services comply with all applicable regulations, standards, and best practices. This role reviews patient records, audits clinical documentation, OASIS assessments, and provides feedback to staff. This role supports quality improvement initiatives to ensure the highest standards of patient care and regulatory compliance.

• Reviews and audits clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards.

• Collaborates with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies.

• Assists with OASIS accuracy and validation; ensures data entry aligns with care plans and physician orders.

• Monitors outcome-based quality indicators and assists in developing performance improvement plans.

• Participates in quality improvement projects, internal audits, and regulatory survey readiness.

• Tracks and reports quality metrics, trends, and areas for improvement to leadership.

• Provides staff education and support on compliance issues and documentation standards.

• Stays current on federal and state regulations related to home health care and quality assurance.

Use your skills to make an impact

Education:

• Associate degree in Nursing (ADN) required;
  Bachelor of Science in Nursing (BSN) strongly preferred.

License/

Certifications:

• Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of South Carolina.

• Proof of current CPR card and/or BLS certification.

Required Experience/

Skills:

• Valid driver’s license, auto insurance and reliable transportation.

• A minimum of 2 years of experience as a Registered Nurse (RN).

• Experience in quality assurance, clinical auditing, and compliance required.

• Home health experience is required.

• Management and people leadership experience is preferred.

• Knowledge of Medicare Conditions of Participation (COP) for home health is required.

• OASIS experience is required. OASIS certification (HCS-O, COQS, and/or COS-C), preferred.

• Must have experience with the following OASIS assessment types: starts of cares (SOC), resumption of cares (ROC), re-certifications, discharges from care (DC), and transfer of cares.

• Homecare Homebase (HCHB) experience is preferred.

• CMS PDGM experience is required.

• Value-based purchasing experience is required.

• Detail-oriented with excellent analytical and problem-solving skills.

• Excellent communication, facilitation, and interpersonal skills.

Additional Information

• Normal Hours of Operation: M-F / 8a-5p (ET)

• On-Call Expectation:
  Yes, rotating on-call shift

• Branch Size: 415+ Census (4.5 STAR rating)

• Annual Bonus Eligible:
  Yes, eligible for the annual incentive bonus which has pay-outs both quarterly and annually.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$77,200 - $106,200 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k)…