Hospice QA Nurse

About the Company

Paradigm Health is an Indiana-owned company redefining home care with a fresh, progressive culture designed to provide team members a fulfilling work experience. Our patient-focused, family-oriented environment fosters teamwork and recognition, with leadership that listens and follows up. As a rapidly expanding organization, we are committed to becoming the 'Employer of Choice,' having won the 'Top Workplace' Award by the Indy Star for the past six years.

About the Role

This is a full-time position as a Hospice QA Nurse, dedicated to ensuring accuracy, compliance, and eligibility in hospice documentation while supporting the clinical team.

Schedule

Monday–Friday, 8:00 AM – 5:00 PM.

Responsibilities

• Demonstrate commitment to Paradigm Health’s mission, vision, and core values.
• Review hospice documentation for accuracy, compliance, and eligibility in a timely manner.
• Communicate compliance concerns and trends with the Compliance Coordinator.
• Participate in continuing education to stay updated on changing regulations and industry standards.
• Review hospice admissions and recertifications to ensure orders, diagnosis, and eligibility are thorough and accurate from intake through admission.
• Ensure the comprehensive assessment is documented and completed within appropriate time frames for all hospice admissions.
• Review all hospice orders for compliance with CMS, AO, and State regulations.
• Work closely with medical records to verify all required signatures are obtained for orders, plans of care, and other documentation.
• Review all hospice documentation, including but not limited to: admissions, orders, F2Fs, written certifications/recertifications, HOPE documentation, visit notes, communication notes, discharges, and discharge summaries across all disciplines to ensure compliance.
• Audit and monitor hospice staff documentation to hold them accountable for compliance.
• Complete documentation reviews promptly and communicate follow-up needs with staff in a professional, constructive, and educational manner.
• Monitor documentation practices and proactively provide guidance and support to improve accuracy, completeness, and compliance.
• Collaborate with Hospice Clinical Coordinators to identify educational needs and facilitate targeted staff education and performance improvement.
• Work closely with the biller to ensure all documentation is reviewed and completed in a timely manner for billing purposes.
• Assist the Hospice Clinical Coordinator in new hire orientation for new hospice nurses by providing reading material and documentation training.
• Adhere to all organization, payroll, billing, and documentation policies and procedures.
• Support the Clinical Coordinator and hospice team during IDG meetings.
• Ensure timely generation of plan of care orders and review for continuity between the comprehensive assessment and plan of care.
• Consult on difficult situations to ensure Paradigm procedures are followed while maintaining compliance with state, federal, and AO standards.

Requirements

• Minimum of 2 years of hospice experience, ideally in quality, compliance, or clinical documentation roles.
• Excellent communication, training, and interpersonal skills with the ability to communicate effectively in a positive and professional manner.
• Strong attention to detail with a high degree of accuracy in documentation and data review.
• Ability and willingness to travel to hospice sites as needed, on a quarterly basis.
• Valid state driver’s license and reliable automobile.
• Proof of current automobile insurance.
• Current health certificate/physical examination and TB testing.
• Criminal background check.

Preferred Qualifications

• Prior experience with the hospice EMR system Wellsky (formerly Kinnser).
• Graduate of an accredited nursing program.
• Current RN/LPN licensure.

Benefits

• Competitive salary.
• Mileage reimbursement.
• Excellent PTO program (up to 136 hours in the first year).
• Every Friday is payday.
• Health, dental, and vision insurance.
• 401k match program.
• Great team environment.