LVN/LPN QA Specialist - Weekends Only

The role

This person will review and validate clinical assessments for accuracy, completeness, and compliance. They will provide feedback to field clinicians and support agency compliance and quality improvement.

What you will do

• Review and validate assigned assessments for accuracy, completeness, and internal consistency
• Identify and correct errors impacting reimbursement, quality measures, or compliance
• Provide actionable feedback to field clinicians for revisions
• Support agency compliance with Conditions of Participation and internal quality standards
• Identify recurring documentation trends or risk areas
• Collaborate with clinical leadership to improve outcomes and reduce audit risk
• Complete assigned reviews within defined turnaround times
• Communicate with clinicians and leadership regarding discrepancies or process improvements

Required qualifications

• Active, unrestricted LPN or LVN
• Minimum 2 years of home health experience
• Strong understanding of Medicare home health reimbursement and PDGM
• High attention to detail and strong clinical judgment
• Ability to work independently in a remote environment with minimal supervision
• Excellent written and verbal communication skills
• Proficiency with EMR systems
• Proficiency with Microsoft Office
• Ability to work at a computer for extended periods
• Reliable high-speed internet access
• Secure, HIPAA-compliant workspace
• Proficiency with virtual communication tools (Slack, Zoom, etc.)

Nice to have

• Prior experience in home health QA, auditing, or coding
• Familiarity with Homecare Homebase (HCHB) or AXXESS
• Experience working in a per-review or productivity-based role
• HCHB preferred

Benefits

• Remote flexibility
• Work from home with flexible hours

About the company

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. They build technology to better support clinical operations and compliance teams.