claim-health
New

Clinical QA Nurse (RN)

United StatesUnited States·New Yorkfull-timemid
OtherClinical
1 views0 saves0 applied

Quick Summary

Overview

About the Role We're hiring a Registered Nurse with deep home health and hospice experience to own the clinical quality of the documentation flowing through our AI platform.

Technical Tools
OtherClinical

About the Role

~1 min read

We're hiring a Registered Nurse with deep home health and hospice experience to own the clinical quality of the documentation flowing through our AI platform.

Our automations review referrals, OASIS documentation, certifications, physician orders, hospice election forms, face-to-face documentation, and supporting clinical records before they reach billing and authorization workflows. Your job is to ensure those automations make clinically sound decisions, identify where they fail, and continuously improve their accuracy.

You'll work at the intersection of clinical expertise, quality assurance, and AI. Rather than reviewing a handful of patient charts each day, you'll help build systems that review thousands correctly.

This is not a bedside or utilization review position. It's an operations and quality role for a nurse who enjoys finding edge cases, improving processes, and translating clinical judgment into scalable automation.

Responsibilities

~1 min read

Review charts processed by our clinical automation platform for accuracy, completeness, and consistency. Validate whether documentation supports services, identify incorrect classifications, and investigate why automation errors occurred.

Partner with engineering and product teams to refine how our AI evaluates clinical documentation. You'll identify where automations miss important clinical nuances, recommend decision rules, and validate improvements before they're deployed.

Develop SOPs that define how clinical documentation should be reviewed across home health and hospice. Standardize quality expectations while accounting for agency-specific workflows and payer requirements.

Work directly with agencies to understand their documentation standards, clinical workflows, and compliance expectations. Help configure automations that align with each client's operational processes.

Measure and improve documentation quality, automation accuracy, exception rates, clinical escalations, and rework. Continuously identify opportunities to improve automation performance.

  • Active RN license (NY or compact license preferred)

  • 3+ years of home health and/or hospice clinical experience

  • Strong understanding of OASIS documentation and home health eligibility requirements

  • Experience reviewing physician orders, certifications, plans of care, face-to-face documentation, and hospice election paperwork

  • Hands-on experience with HomeCare HomeBase (HCHB), Axxess, and WellSky; KanTime a plus

  • Strong understanding of Medicare home health and hospice documentation requirements

  • Experience writing SOPs, QA guidelines, or training documentation

  • Excellent attention to detail and pattern recognition

  • Comfortable working in a fast-paced startup environment

Nice to Have

~1 min read
  • QA, Clinical Documentation Integrity (CDI), or Compliance experience

  • Experience with AI, workflow automation, or healthcare technology companies

  • Familiarity with referral platforms including Careport and Forcura

  • Experience implementing or optimizing EMR workflows

Scale your clinical expertise. Help AI review thousands of charts instead of reviewing them one at a time.

Own quality. Your feedback directly improves the clinical accuracy of our platform across every customer.

Influence the product. Work side-by-side with engineering to shape how AI understands home health and hospice documentation.

Location & Eligibility

Where is the job
New York, United States
On-site at the office
Who can apply
US

Listing Details

Posted
July 18, 2026
First seen
July 18, 2026
Last seen
July 21, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
52%
Scored at
July 18, 2026

Signal breakdown

freshnesssource trustcontent trustemployer trust
Newsletter

Stay ahead of the market

Get the latest job openings, salary trends, and hiring insights delivered to your inbox every week.

A
B
C
D
Join 12,000+ marketers

No spam. Unsubscribe at any time.

claim-healthClinical QA Nurse (RN)