Clinical Quality Manager

🔥 19 hours ago

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Adaptive Home Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2020

🏥 Healthcare

👥 B2C

🤝 B2B

Healthcare • B2C • B2B

Adaptive Home Health is an employee-owned, Texas-based home health provider delivering skilled nursing, specialty wound and infusion care, physical and occupational therapy, and orthopedic rehabilitation to patients in their homes. Led by a team of veterans and nurses, the company partners with hospitals, physician groups, wound centers and research institutions across North Texas, Austin, Houston and other Texas regions, is Medicare- and VA-accepted, and operates a 24/7 billing and patient advocacy hotline to support high-acuity and post-hospital recovery care. Adaptive emphasizes patient-focused, in-home clinical services with a large full-time clinical staff and regional offices across Texas.

📋 Description

• Support Quality, Safety, and Compliance • Help identify recurring documentation and workflow opportunities for improvement • Support quality assurance activities by ensuring clinical work meets organizational standards • Order Management & EMR Workflow Support • Review and process physician orders within the EMR • Ensure verbal orders meet documentation requirements • Confirm orders are complete and aligned with patient care needs • Support intake and referral processing through clinical review as needed • End of Episode Management • Review discharge reports to ensure required documentation is complete • Process and lock transfer to inpatient facility and death at home OASIS visits • Verify discharge summaries and signed orders are present • Confirm NOMNC documentation is completed when applicable • Process discharge-related orders as needed • Hospital Hold Process Support • Manage hospital hold documentation and inpatient transfer workflows • Assist with plan of care updates for hospitalized patients • Support resumption of care workflows and monitor pending approvals • Complete discharge workflows for patients who remain in facilities at the end of an episode when appropriate • Quality & Compliance Monitoring • Review infection control reports and escalate concerns as needed • Monitor wound score documentation and identify variances • Review quality improvement events and communicate trends to leadership • Process clinical alerts and potentially avoidable event notifications • Audit missed visits and related documentation to support quality care delivery and reimbursement compliance • Monitor for timely initiation of care concerns • Patient Status Monitoring • Review vital sign alerts and ensure appropriate follow-up documentation is completed • Monitor coordination notes for physician updates and clinically significant medication-related concerns • Review EMR dashboards for changes in patient condition and escalate issues appropriately

🎯 Requirements

• Active RN license • Prior home health field experience • Minimum of 1 year of experience working in Homecare Homebase (HCHB) back office workflows • Strong understanding of home health documentation and regulatory requirements • Strong organizational skills and attention to detail • Ability to manage multiple priorities in a remote work environment • Effective written and verbal communication skills • Multistate/Compact RN License preferred • Willingness to seek additional state licensure • Previous home health management experience preferred

🏖️ Benefits

• Active Compact RN License Required • Help identify recurring documentation and workflow opportunities for improvement • Support quality assurance activities by ensuring clinical work meets organizational standards