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QA Nurse
Company | Abby Care |
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Location | Philadelphia, PA, USA |
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Salary | $60000 – $66000 |
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Type | Full-Time |
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Degrees | Bachelor’s, Associate’s |
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Experience Level | Mid Level |
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Requirements
- Must be a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in the state of Pennsylvania
- 2+ years of clinical experience, ideally in home health, hospice, or a regulated healthcare setting
- Prior experience with QA, auditing, or clinical documentation review
- Working knowledge of CMS and/or Medicaid regulations
- Attention to detail, a methodical, thorough work style, and strong communication skills
- Ability to work independently while staying aligned with broader QA and compliance processes
- Familiarity with EMR systems and comfort working with digital documentation and spreadsheets
Responsibilities
- Review clinical documentation for accuracy, completeness, and compliance with regulations.
- Identify errors or missing information and coordinate corrections with clinical staff.
- Ensure timely QA of documents for billing, audits, and regulatory deadlines.
- Support education for nurses and caregivers on documentation standards.
- Maintain organized logs of QA reviews, corrections, and outstanding items.
- Participate in internal audits and assist with survey and accreditation preparations.
- Escalate documentation or compliance concerns to the QA Manager as needed.
Preferred Qualifications
- Experience with CHAP or other accreditation standards is preferred
- Experience working in a multi-state home health agency is preferred