Mission Healthcare

Hospice Quality Care Manager, RN

Mission Healthcare

full-time

Posted on:

Location Type: Remote

Location: Remote • Arizona, California, Idaho, Illinois, Nevada, Oregon, Texas, Utah, Washington • 🇺🇸 United States

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Salary

💰 $80,000 - $100,000 per year

Job Level

Junior

About the role

  • Review documentation and Plan of Care for accuracy, completeness, and alignment with care focus, and physician face-to-face requirements.
  • Ensure documentation supports skilled need, medical necessity, and appropriate visit utilization.
  • Confirm clinical documentation supports recertification and discharge decisions.
  • Review additional orders for appropriateness and locks HOPE assessments timely.
  • Reinforces agency processes when providing feedback on documentation deficiencies or HOPE corrections.
  • Maintains working knowledge of hospice regulations, CHAP standards, conditions of participation, and HOPE assessments.
  • Partners with the Director of Quality and Education on initiatives to improve HOPE accuracy and patient outcomes.
  • Utilizes SHP data and manages SHP alerts to optimize performance through real-time analytics.
  • Communicates effectively with the healthcare team, leadership, and other departments.
  • Attends Case Conferences and department meetings as required.
  • Ensures adequate workflow coverage across offices, including on-call rotation for holidays/weekends.
  • Prioritizes and completes all workflow tasks daily to prevent delays in care and support timely billing and month-end close.
  • Demonstrates strong organizational skills, attention to detail, and problem-solving abilities.
  • Follows up diligently on outstanding tasks and adheres to agency practices.

Requirements

  • Must be a graduate of an accredited School of Nursing.
  • A current unencumbered license to practice as a Registered Nurse in California is required. You will need to be licensed in OR, UT, ID and NV as well. Mission will support you in obtaining licensure in these states after you begin employment.
  • Minimum of 1 year of hospice experience with working knowledge of Medicare Hospice Conditions of Participation, HOPE Assessments, and Homecare Homebase.
  • Excellent written and oral communication skills required.
  • Ability to handle stressful situations/deadlines.
  • Strong computer and software skills with knowledge of Home Care Home Base highly preferred.
  • Self-starter, goal directed with ability to work independently and stay focused without on-site supervision.
  • Ability to communicate effectively with agency staff, upper management, and other members of the healthcare team.
Benefits
  • Equal Opportunity Employer
  • Accessibility Commitment
  • Inclusion Efforts
  • Commitment to diversity and equity

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
nursinghospice careclinical documentationmedical necessityrecertificationdischarge decisionsworkflow managementproblem-solvingreal-time analyticsdocumentation review
Soft skills
communicationorganizational skillsattention to detailability to handle stressself-startergoal directedindependent workteam collaborationfeedback provisiontask prioritization
Certifications
Registered Nurse licenseCalifornia RN licenseaccredited nursing degree