Home Health Quality Assurance RN

Luxe Home Health LLC

Home Health Quality Assurance RN

Des Plaines, IL
Full Time
Paid
  • Responsibilities

    Benefits:

    Competitive salary

    Flexible schedule

    Home Health Quality Assurance RN

    Required Qualifications

    Candidates must possess ALL of the following qualifications to be considered:

    Active Illinois Registered Nurse (RN) license in good standing

    Minimum three (3) years of recent Medicare-certified home health experience

    Extensive OASIS-E knowledge and experience

    Advanced proficiency with Axxess Home Health software

    Strong understanding of Medicare Conditions of Participation and home health regulatory requirements

    Position Summary

    Luxe Home Health is seeking an experienced Home Health Quality Assurance RN to support our Illinois operations. This is a hybrid position responsible for reviewing clinical documentation, auditing OASIS assessments, ensuring regulatory compliance, and supporting quality improvement initiatives.

    The ideal candidate is a highly skilled home health clinician who can work independently, identify documentation deficiencies, recognize compliance risks, and provide meaningful recommendations to improve clinical quality and patient outcomes.

    This position follows a hybrid work schedule, with three (3) days working remotely from home and two (2) days required in our Des Plaines office each week. Regular in-person attendance is an essential function of the position and will include reviewing workload, discussing findings, and collaborating with leadership on quality initiatives.

    Essential Duties and Responsibilities

    Quality Assurance & Compliance

    Conduct comprehensive clinical chart audits to ensure accuracy, completeness, and regulatory compliance

    Review OASIS assessments and supporting documentation for quality and consistency

    Monitor compliance with Medicare Conditions of Participation, Illinois regulations, and agency policies

    Identify documentation deficiencies and compliance concerns and provide recommendations for correction

    Assist with quality improvement and performance improvement initiatives

    Support agency readiness for audits, surveys, and accreditation reviews

    Track, trend, and report quality findings and documentation outcomes

    Clinical Documentation Review

    Review Plans of Care, physician orders, visit notes, recertifications, transfers, resumptions of care, and discharge documentation

    Ensure documentation supports medical necessity, homebound status, and skilled need requirements

    Verify timely completion and submission of clinical documentation

    Monitor documentation trends and identify opportunities for clinician education and process improvement

    Promote consistency and accuracy throughout the clinical record

    Collaboration & Operational Support

    Collaborate with agency leadership to improve documentation quality and regulatory compliance

    Participate in regular in-person and virtual meetings to review workload, findings, and quality metrics

    Assist in developing and maintaining quality assurance processes and best practices

    Support ongoing efforts to improve clinical outcomes and operational efficiency

    Preferred Qualifications

    Previous Quality Assurance, Clinical Review, Clinical Manager, Clinical Team Manager, or Director of Nursing experience in home health

    Experience preparing for CHAP, ACHC, or state regulatory surveys

    Experience with quality improvement and performance improvement programs

    Knowledge, Skills, and Abilities

    Exceptional attention to detail

    Strong critical thinking and clinical judgment

    Excellent written and verbal communication skills

    Strong organizational and time-management abilities

    Ability to work independently with minimal supervision

    Ability to manage multiple priorities and meet deadlines

    Working Conditions

    Hybrid work environment

    Three (3) days per week working remotely from home

    Two (2) days per week required in the Des Plaines office

    Flexible schedule within established business and operational requirements

    Regular collaboration with clinical and agency leadership

    Employment is ongoing and based on agency needs

    Why Join Luxe Home Health?

    Competitive compensation

    Flexible hybrid work schedule

    Three remote/work-from-home days per week

    Collaborative and supportive leadership team

    Opportunity to make a direct impact on clinical quality, compliance, and patient outcomes

    Luxe Home Health is an Equal Opportunity Employer.

    Experience

    Home health: 3 years (Required)

    Axxess: 1 year (Required)

    OASIS: 1 year (Required)

    License/Certification

    RN License (Required)

    Work Location

    Hybrid — Des Plaines, IL 60018

    Schedule: 3 days remote/work-from-home and 2 days required in the office each week

    Flexible work from home options available.