Clinical Quality Assurance Nurse || WFH

Key Responsibilities
Clinical Documentation Quality Review
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- Review Start of Care (SOC) and admission documentation for completeness, accuracy, and clinical appropriateness.
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- Review Plans of Care (POCs) to ensure that patient needs, diagnoses, goals, interventions, frequency, and services are appropriately documented.
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- Review physician/MD orders for completeness, accuracy, signatures, dates, and consistency with the patient's clinical documentation.
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- Verify that clinical documentation supports the services and care being provided to the patient.
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- Identify missing, inconsistent, or incomplete documentation and coordinate with the appropriate team for correction.
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- Ensure documentation follows established company policies, client requirements, and applicable healthcare standards. Quality Assurance
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- Conduct routine audits of patient records and clinical documentation.
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- Identify trends, recurring documentation issues, and areas of compliance risk.
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- Document audit findings and provide clear feedback to the appropriate team members.
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- Assist in developing and maintaining QA checklists, audit tools, and quality standards.
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- Participate in process improvement initiatives designed to improve documentation quality and reduce errors.
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- Escalate significant clinical or documentation concerns to the appropriate supervisor or clinical leadership.

Qualifications:

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- Experience in home health, healthcare documentation, clinical review, utilization review, medical auditing, or quality assurance.
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- Strong understanding of nursing documentation and clinical terminology.
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- Proven experience in Start of Care (SOC), Plans of Care (POC), and physician/MD orders.
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- Experience with electronic medical records (EMR/EHR) is preferred.
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- Strong attention to detail and ability to identify inconsistencies or missing information.
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- Excellent written and verbal communication skills.
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- Active Philippine Registered Nurse License

Benefits:
- Health insurance
- Paid training
- Promotion to permanent employee
- Work from home Application Question(s):
- Do you currently hold an active Philippine Registered Nurse (RN) License?
- Do you have professional experience in home health, healthcare documentation, clinical review, utilization review, medical auditing, or quality assurance?
- Do you have experience using Electronic Medical Records (EMR) or Electronic Health Records (EHR) systems?
- How many years of experience do you have in clinical documentation, clinical review, home health, medical auditing, utilization review, or quality assurance?
- Do you have experience working with Start of Care (SOC), Plans of Care (POC) and physician/MD orders? Work

Location:
Remote