Online Quality Assurance Jobs in Decatur, IN (NOW HIRING)

If you are looking for... a company that is patient-focused, provides the highest quality of care, family-oriented working environment with a non-corporate feel, managers and leadership who truly listen and follow up, teamwork, recognizes a job well done... YOU'RE IN THE RIGHT PLACE!

Paradigm Healthis an exciting Indiana-owned company that brings a new "Paradigm" to Home Care. Our culture is fresh, exciting and progressive to afford our team members a fulfilling work experience. We are looking for the best of the best; team members who are driven, compassionate and take pride in the quality of their care and services. This is a great opportunity for the right candidate. Paradigm Health is expanding rapidly throughout Indiana and you could be our next great team-member!

Our mission to become the 'Employer of Choice' has led up to wining a 'Top Workplace' Award by the Indy Star for the past 6 years, and we are not finished yet!

• Hospice QA Nurse
• Schedule: Monday-Friday 8:00am - 5:00 pm
• Demonstrate commitment to the Paradigm Health mission, vision and core values
• Reviews hospice documentation for accuracy, compliance, and eligibility in a timely manner.
• Communicates compliance concerns and/or trends with the Compliance Coordinator.
• Participates in continuing education to maximize awareness of changing regulations and industry standards.
• Reviews hospice admissions/recertifications to ensure orders, diagnosis, and eligibility are thorough and accurate from intake through the admission process.
• Reviews all hospice admissions to ensure the comprehensive assessment is documented and completed in the appropriate time frames.
• Reviews all hospice orders to ensure compliance with CMS, AO, and State regulations.
• Works closely with medical records to determine if all signatures have been obtained as required by regulations for all orders, plans of care, etc.
• Reviews all hospice documentation including but not limited to: admission, orders, F2Fs, written certifications/recertifications, recertifications, HOPE documentation, visit notes, communication notes, discharges, discharge summaries, for all disciplines, to ensure compliance with regulations.
• Holds the Hospice staff accountable by auditing and monitoring their documentation.
• Completes documentation review in a timely manner and communicates follow-up needs with staff in a professional, constructive, and educational tone to ensure compliance.
• Monitors documentation practices and proactively provides guidance and support to hospice staff to improve accuracy, completeness, and compliance.
• Collaborates with Hospice Clinical Coordinators to identify educational needs and facilitate targeted staff education and ongoing performance improvement.
• Works closely with the biller to ensure all documentation in reviewed and completed in a timely manner for billing purposes.
• Assists the Hospice Clinical Coordinator in the new hire orientation process for new Hospice nurses by providing reading material and documentation training.
• Adheres to all organization, payroll, billing and documentation policies and procedures.
• Supports Clinical Coordinator and hospice team during IDG meetings.
• Ensures timely generation of plan of care orders and reviews for continuity between comprehensive assessment and plan of care.
• Consults on difficult situations to ensure the Paradigm Procedures are utilized while maintaining compliance with all state, federal and AO standards.

• Competitive salary
• Mileage reimbursement
• Excellent PTO program (up to 136 hours in first year)
• Every Friday is payday!
• Health, dental, vision
• 401k match program
• Great team environment!

Required:

• Minimum 2 years of hospice experience, ideally in quality, compliance, or clinical documentation roles.
• Excellent communication, training, and interpersonal skills with the ability to communicate effectively with hospice staff in a positive and professional manner.
• Strong attention to detail with a high degree of accuracy in documentation and data review.
• Ability and willingness to travel to hospice sites as needed and on a quarterly basis.
• Valid state driver’s license and reliable automobile.
• Proof of current automobile insurance.
• Current health certificate/physical examination and TB testing.
• Criminal background check.

Preferred:

• Prior experience with hospice EMR system Wellsky (formerly Kinnser)
• Graduate of an accredited nursing program.
• Current RN/LPN licensure.

We hope to speak with you about the rewarding nature of hospice! We believe you will thrive in the positive enviroment and support here at Paradigm Health.

Paradigm Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law

This position is an at-will employment opportunity. This means that employment may be terminated by either the employee or Paradigm Health at any time, for any reason or no reason, with or without notice.