Hospice QA Lead (RN) – Clinical Compliance & Chart Review
Health Link Home Health and Hospice Agency · San Francisco, CA · 2 mo ago
On-siteFinance$55–$65/hrFull-time
About the role
The Hospice QA Lead position is based in San Francisco and focuses on chart review, documentation accuracy, and regulatory compliance.
Responsibilities
- Perform daily chart audits for hospice patients
- Ensure compliance with Medicare hospice regulations and ACHC standards
- Review and validate certifications and recertifications, face-to-face encounters, hospice eligibility, and documentation of decline
- Review plans of care and visit documentation for accuracy and completeness
- Identify documentation gaps and support timely corrections
- Track trends in live discharges, revocations, length of stay, and documentation inconsistencies
- Partner with clinical leadership to ensure follow-through and accountability
- Maintain ongoing survey readiness through consistent chart review
- Provide clear, constructive feedback to clinicians to strengthen documentation
Requirements
- Active RN license (California)
- Hospice experience required
- Strong understanding of hospice eligibility, recertification requirements, and documentation supporting terminal prognosis and decline
- Knowledge of Medicare hospice compliance standards
- Experience in QA, auditing, or clinical review preferred
- Strong attention to detail with a patient-centered mindset
- Able to communicate clearly and work collaboratively with clinicians