RN - In-Home Quality Assurance & Coaching

Registered Nurse, Quality Assurance — In-Home Clinical Services

Position Summary

The Registered Nurse, Quality Assuranceis responsible fordriving the clinical quality and consistency of practitioners who perform in-home assessments, laboratorytests, and diagnostic services across the member's home or any alternate location where services are delivered. This role combines clinical oversight, data-driven performance analysis, and direct coaching to ensure every encounter meets evidence-based standards, regulatory requirements, and the organization's quality benchmarks. The RN Quality Assurance partner serves as both an auditor and an educator — translating quality data into actionable feedback that elevates practitioner performance and improves member outcomes.

Key Responsibilities

Quality Oversight & Auditing

• Conduct routine and targeted audits of in-home assessments, lab specimen collection, and diagnostic procedures performed by field practitioners (NPs,RNsand LPNs
• Review documentation, chart notes, and encounter data for completeness, clinical accuracy, and adherence to protocols.
• Perform ride-along and virtual observation visits to assess clinical technique, member interaction, infection control, and specimen handling.
• Identifydeviations from clinical standards and document findings in the quality management system.

Data Analysis & Reporting

• Analyze quality metrics, audit results, lab rejection rates, redraw rates, and member-experience data toidentifytrends and root causes.
• Build andmaintaindashboards and reports that surface practitioner‑level and program‑level performance to operations and clinical leadership.
• Translate quantitative findings into prioritized improvement opportunities with measurable targets.
• Partner with data and analytics teams to refine quality measures and benchmarks over time.

Coaching, Education & Practitioner Development

• Deliver one‑on‑one feedback and coaching to practitioners based on audit findings, with clear expectations and follow‑up.
• Design andassistintraining sessions, in‑services, and competency assessments covering clinical procedures, documentation, and member experience.
• Develop job aids, SOPs, and reference materials that codify best practices for in‑home and alternate‑site service delivery.
• Mentor new hires through onboarding andvalidateclinical competency before independent practice.

Compliance & Continuous Improvement

• Ensure practitioner activitiescomply withCLIA, OSHA, HIPAA, statenursing scope‑of‑practice rules.
• Investigate clinical incidents, near misses, and member complaints; document findings and recommend corrective action.
• Collaborate with Operations to close gaps and operationalize new clinical workflows.

Required Qualifications

• Active, unrestricted Registered Nurse (RN) license in the state of residence; willingness to obtainadditionalstate licensure or compact privileges asrequired.
• Bachelor of Science in Nursing (BSN)required; advanced degree (MSN, MPH, or MHA) preferred.
• Minimum 5 years of clinical nursing experience, with at least 2 yearsinquality assurance, clinical auditing, case management, or a comparable oversight role.
• Experience with in‑home care, mobile health, home health, or community‑based clinical servicesstronglypreferred.
• Working knowledge of laboratory specimen collection, point‑of‑care testing, and common in‑home diagnostic procedures.
• Familiarity with CLIA, OSHA, HIPAA, and applicable state and federal regulations governing clinical practice.

Skills & Competencies

• Analytical mindset — comfortable working with audit data, performance metrics, and Excel orTableautools toidentifypatterns and prioritize action.
• Strong written and verbal communication skills, with the ability to deliver direct, constructive feedback to clinicians at all levels.
• Sound clinical judgment and meticulous attention to detail in reviewing documentation andobservingprocedures.
• Coaching and adult-learning skills; able to teach without alienating.
• Proficiencywith electronic health records, quality management platforms, and Microsoft Office (Excel, Word, PowerPoint).
• Ability to work independently, manage a multi‑state caseload, and prioritize across competing audits and projects.

Working Conditions

• Hybrid role with a mix of remote chart review, virtual coaching, and field‑based observation visits.
• Travel up to50–60%(or asdeterminedby the business)to member homes, partner sites, or other service locations for ride‑alongsand audits.
• Occasional evening or weekend availability toobservepractitioners working non‑standard shifts.
• Mustmaintaina valid driver's license, reliable transportation, and current auto insurance.