QUALITY IMPROVEMENT NURSE MANAGER (RN) - Home Health Care

Position Overview

Presidential Home Health Care, a 4.5‑star rated and Medicare certified agency, is seeking a QUALITY NURSE MANAGER (RN) in Quincy, Massachusetts. Dedicated to quality care, patient satisfaction, and regulatory compliance, our agency serves over 1,000 patients across the South Shore and Greater Boston areas. In this role, you will provide clinical management and oversight to the clinical team as well as quality assurance in documentation to ensure adherence to Medicare Conditions of Participation (CoPs) and ACHC standards. This is a full‑time position with a competitive compensation of $35.00 - $45.00 per hour for a 40‑hour work week.

Key Responsibilities

• Assist in developing and implementing an Agency CQI program.
• Assist in preparing monthly Medicare billing.
• Assist in reviewing 485’s and 486’s.
• Assist with chart audits.
• Assist with Coding and OASIS reviews.
• Assist with quarterly U.R. statistics.
• Assist with training and supervision of field staff.
• Implement approved recommendations and assess success in correcting clinical record deficiencies.
• Participate in case conferences ensuring proper documentation per Agency policy.
• Review reports of complaints, errors, incidents, and grievances for proper handling.
• Coordinate a risk management program addressing cases with potential hazards.
• Conduct home visits to observe care, assess equipment usage, and gather patient/family feedback.
• Assist in evaluating and resolving employee complaints, grievances, and turnover issues.
• Perform additional tasks as assigned by leadership.
• Ensure confidentiality of clinical records.
• Maintain an environment compliant with Federal, state, and local standards.
• Participate in the development and implementation of a staff educational program for documentation and Quality Improvement.
• Collaborate with administrative personnel to assure high‑quality patient care and follow‑up.
• Consult with physicians to ensure safe, efficient, and quality patient care.
• Perform chart audits and assist with case conferences.
• Engage with community groups to improve local health and welfare as directed.

Required Qualifications

• Must be a Registered Nurse.
• Must have supervisory experience.
• Must be adept at preparing patient charts.
• Must have experience in developing, implementing, and evaluating continuous quality improvement programs.
• Must demonstrate self‑confidence, a positive attitude, and commitment to goal achievement.
• Experience in Home Health QA for at least 1 year.
• Possession of a valid RN License and The Certificate for OASIS Specialist‑Clinical (COS‑C) (both Required).

Preferred Qualifications

• Bachelor’s degree (Preferred).

Benefits & Perks

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off