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Quality Care Manager (RN) - Hospice

Mission Healthcare
place San Diego, 92164
local_atm $90000 - $100000 USD /YEAR
work_outline
Full Time
Experience:
Avoidant Personality Disorder
Gender Dysphoria
Racism, Diversity, and Tolerance
Stress
ECT
Families

About Job

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

Pay range: CA - $90-$100K annually, all other states - $80-$90K

Shifts: Tuesday - Saturday, 8a-5p PST

Sunday - Thursday, 8a-5p PST

Location: May reside in any of the following states, but must be willing to work west coast hours:

Arizona

California

Idaho

Illinois

Nevada

Oregon

Texas

Utah

Washington

The Quality Care Manager is responsible for reviewing patient assessments to ensure appropriate and effective care is provided to each patient in compliance with agency policies, procedures, and regulatory requirements. Trends or patterns of inaccuracy identified by the QCM will be communicated to the Quality Director to assist in the development of the performance improvement and education plan.

Responsibilities:
Clinical Documentation & Compliance


  • 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



Quality & Regulatory Oversight


  • 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.

Collaboration & Communication


  • 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



Workflow & Operational Excellence


  • 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



Qualifications:

  • 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 state 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 health care team



See what Mission has to offer! Click Here!

At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.

Equal Opportunity:
We are proud to be an equal-opportunity employer. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristics. All employment decisions are based on qualifications, merit, and business need.

Accessibility Commitment:
We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.

Inclusion Efforts:
We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.

Your Voice Matters:
Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.

Professional Field

professional badgeNursing
professional badgeOther Behavioral, Mental, or Healthcare Field

Patient Focus

Diagnoses

Avoidant Personality Disorder
Gender Dysphoria

Issues

Racism, Diversity, and Tolerance
Stress

Therapeutic Approach

Methodologies

ECT

Modalities

Families

Practice Specifics

Populations

Hospice/Palliative Care
Inmates
Undergraduate/Graduate/Post Graduate
Racial Justice Allied

Settings

Faith-based organizations
Hospice
Milieu
Private Practice
Research Facilities/Labs/Clinical Trials
Home Health/In-home
Jails/Prisons
Military
Forensic