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Optimal Care

Medicare-certified home health with geriatric care

Quality Assurance Nurse

Clinical Support & Patient AdministrationUpdated on Nov 10
Part-time

About the Job

Requirements

  • Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing.
  • Hold a current state license as a Registered Nurse.
  • Have at least 3 years of health care management experience.
  • Have at least 2 years of hospice care experience.
  • Have reliable transportation, a valid driver’s license, and valid automobile insurance coverage.
  • Demonstrate interpersonal skills and the ability to communicate effectively.
  • Exhibit working knowledge of regulations and reimbursement in home health care.
  • Have ICD-10 coding certification within one year of hire; certification is preferred at the time of hire.

Responsibilities

  • Review medical records to ensure they are accurate, complete, and aligned with state, federal, and payer requirements.
  • Support accurate coding and documentation practices.
  • Manage regulatory processes, including start-of-care reviews and re-certifications.
  • Identify opportunities to strengthen workflows and improve outcomes.
  • Contribute to QAPI initiatives, support staff education, and monitor compliance trends.
  • Conduct audits, training, and compliance reviews at clinical sites, patient care locations, or company offices as needed.

Desired Qualifications

  • Have a BA or Bachelor of Science in Nursing.
  • Have quality assurance experience.
  • Have ICD-10 coding certification at the time of hire.

About the Company

Optimal Care

Medicare-certified home health with geriatric care

Optimal Care provides Medicare-certified home health services for seniors using a nurse practitioner-led care model. A nurse practitioner visits patients at home to assess needs and develop a personalized plan that includes programs such as behavioral health, dementia, geriatric, diabetic, wound, and orthopedic care. This setup delivers a wide range of specialty care directly in the home, not just post-surgical or rehabilitation services. Its goal is to keep older adults safe and healthy at home through coordinated, in-home care.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Michigan, United States
Founded
2003

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