Humana · 23 hours ago
RN Quality Assurance Clinical Manager, Home Health
Brunswick, GA
Full-time
Onsite
Mid, Senior Level
$77K/yr - $106K/yrHumana is a leading healthcare company that focuses on providing comprehensive home care services. The RN QA Clinical Manager will ensure clinical documentation compliance, support quality improvement initiatives, and collaborate with clinicians to maintain high standards of patient care.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Reviews and audits clinical documentation (OASIS, visit notes, plan of care) for accuracy, completeness, and compliance with Medicare/CMS accreditation standards
Collaborates with field-based clinicians to ensure timely submission of documentation and to resolve deficiencies or inconsistencies
Assists with OASIS accuracy and validation; ensures data entry aligns with care plans and physician orders
Monitors outcome-based quality indicators and assists in developing performance improvement plans
Participates in quality improvement projects, internal audits, and regulatory survey readiness
Tracks and reports quality metrics, trends, and areas for improvement to leadership
Provides staff education and support on compliance issues and documentation standards
Stays current on federal and state regulations related to home health care and quality assurance
Qualification
Required
Associate degree in Nursing (ADN) required
Active and unrestricted Registered Nurse (RN) license or Compact State RN license with authorization to practice in the state of Georgia
Proof of current CPR card and/or BLS certification
Valid driver's license, auto insurance and reliable transportation
Experience in quality assurance, clinical auditing, and compliance required
Home health experience is required
Knowledge of Medicare Conditions of Participation (COP) for home health is required
OASIS experience is required
Must have experience with the following OASIS assessment types: starts of cares (SOC), resumption of cares (ROC), re-certifications, discharges from care (DC), and transfer of cares
CMS PDGM experience is required
Value-based purchasing experience is required
Detail-oriented with excellent analytical and problem-solving skills
Excellent communication, facilitation, and interpersonal skills
Preferred
Bachelor of Science in Nursing (BSN) strongly preferred
Management and people leadership experience is preferred
OASIS certification (HCS-O, COQS, and/or COS-C), preferred
Homecare Homebase (HCHB) experience is preferred
Benefits
Medical
Dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
Founded in 1964
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-07
2026-01-06
2026-01-04
Company data provided by crunchbase