Hospice QA Lead (RN) - Clinical Compliance & Chart Review
Location: San Francisco
Position: Full-Time | On-Site
Compensation: $55 - $65/hour DOE
In hospice, the care we provide matters deeply-and the way we document that care ensures patients receive the support they need.
We are seeking a Hospice QA Lead based in our San Francisco office, focused on chart review, documentation accuracy, and regulatory compliance. In this role, you will help ensure that each patient's clinical needs, eligibility, and care are clearly and accurately reflected in the chart, while keeping the agency aligned with ACHC standards and Medicare requirements.
This is a detail-oriented, supportive role for someone who values both quality care and the documentation that stands behind it.
What You'll Do
โข Perform daily chart audits for hospice patients
โข Ensure compliance with Medicare hospice regulations and ACHC standards
โข Review and validate certifications and recertifications, face-to-face encounters, hospice eligibility, and documentation of decline
โข Review plans of care and visit documentation for accuracy and completeness
โข Identify documentation gaps and support timely corrections
โข Track trends in live discharges, revocations, length of stay, and documentation inconsistencies
โข Partner with clinical leadership to ensure follow-through and accountability
โข Maintain ongoing survey readiness through consistent chart review
โข Provide clear, constructive feedback to clinicians to strengthen documentation
What You Bring
โข Active RN license (California)
โข Hospice experience required
โข Strong understanding of hospice eligibility, recertification requirements, and documentation supporting terminal prognosis and decline
โข Knowledge of Medicare hospice compliance standards
โข Experience in QA, auditing, or clinical review preferred
โข Strong attention to detail with a patient-centered mindset
โข Ability to communicate clearly and work collaboratively with clinicians
Why This Role Matters
โข Ensures patients are appropriately supported with hospice services
โข Strengthens the accuracy and completeness of clinical documentation
โข Maintains compliance and ongoing survey readiness
โข Supports clinicians in delivering high-quality, well-documented care
Who This Role Is For
โข You are detail-oriented but also see the bigger picture
โข You take pride in doing things the right way
โข You enjoy supporting clinicians and strengthening processes
โข You believe that good documentation helps tell the full story of patient care