Adaptive Home Health

Role Description The Talent Acquisition Specialist plays a critical role in helping us identify, engage, and hire outstanding healthcare professionals who are passionate about delivering exceptional patient care. - Own full-cycle recruiting for a variety of healthcare and operational positions, including: - Physical Therapists (PT) - Occupational Therapists (OT) - Speech-Language Pathologists (SLP) - Registered Nurses (RN) - Licensed Vocational Nurses (LVN) - Home Health Aides (HHA) - Administrative and corporate support roles - Source candidates through job boards, social media platforms, professional networks, employee referrals, and direct outreach. - Conduct phone screens and candidate assessments to identify top talent. - Coordinate interviews and maintain communication throughout the hiring process to deliver an exceptional candidate experience. - Partner closely with hiring managers and operational leaders to understand workforce needs and hiring priorities. - Build and maintain talent pipelines for both immediate openings and future growth initiatives. - Maintain accurate candidate records and hiring activity within the Applicant Tracking System (ATS). - Support onboarding efforts and ensure a seamless transition from candidate to employee. - Stay informed on healthcare recruiting trends, labor market conditions, compensation trends, and competitive hiring practices. Qualifications - 1+ years of recruiting, talent acquisition, or staffing experience. - Strong communication, relationship-building, and organizational skills. - Ability to manage multiple requisitions and priorities simultaneously. - Experience sourcing candidates through various channels, including direct outreach and social media recruiting. - Comfortable working independently in a fast-paced remote environment. - Proficiency with Applicant Tracking Systems (ATS), Microsoft Office, and virtual communication tools. - Strong attention to detail and follow-through. Requirements - Healthcare recruiting experience. - Home health, hospice, therapy, nursing, or allied health recruiting experience. - Experience building university recruiting programs and internship pipelines. - Familiarity with recruiting analytics and workforce planning. - Experience with Ashby or other modern ATS platforms. - Experience recruiting across multiple geographic markets. Benefits - Competitive base salary - Performance and growth opportunities - 401(k) with company match - Medical, dental, vision, and life insurance - Paid time off - Remote work environment - Employee referral program

• Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency • Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment • Identify and correct errors impacting reimbursement, quality measures, or compliance before submission • Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement • Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements • Stay current on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership • Support agency compliance with Conditions of Participation (CoPs) and internal quality standards • Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization • Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility • Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards • Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements

Role Description Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our QA RN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and optimal reimbursement while supporting field clinicians with actionable feedback and continuous quality improvement. If you have sharp clinical judgment, deep OASIS expertise, and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance. What you will do: - Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency. - Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment. - Identify and correct errors impacting reimbursement, quality measures, or compliance before submission. - Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement. - Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements. - Stay current on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership. - Support agency compliance with Conditions of Participation (CoPs) and internal quality standards. - Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization. - Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility. - Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards. - Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements. Qualifications - Active, unrestricted Texas RN license. - Minimum 2 years of home health experience. - ICD-10 Coding Certification (HCS-D or equivalent). - OASIS Certification (COS-C or equivalent). - 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 (HCHB preferred) and Microsoft Office. Requirements - Prior experience in home health QA, auditing, or coding (nice-to-have). - Familiarity with Homecare Homebase (HCHB) or AXXESS (nice-to-have). - Experience working in a per-review or productivity-based role (nice-to-have). - Background in OASIS education or clinician training (nice-to-have). Benefits - Clear, performance-based compensation: $35 per locked OASIS review—earn based on quality and productivity. - Remote flexibility: Work from home with flexible hours designed to scale with agency census (Prefer Texas-based). - Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance. - Strong operational support: Collaborate with experienced clinical and compliance leadership. - Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden. Physical & Technical Requirements - Ability to work at a computer for extended periods. - Reliable high-speed internet access and secure, HIPAA-compliant workspace. - Proficiency with EMR systems, Microsoft Office, and virtual communication tools (Slack, Zoom, etc.). Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

• Oversee quality and compliance of clinical documentation and service delivery. • Review and audit clinical documentation for accuracy and compliance. • Ensure documentation meets regulatory requirements and standards. • Track and follow up on QA issues with clinical staff. • Ensure accurate OASIS data collection and collaboration with coding departments. • Lead Quality Assurance and Performance Improvement (QAPI) initiatives.

• Conduct structured EMR reviews prior to acquisition close • Identify documentation risk patterns, billing integrity gaps, and regulatory exposure • Assess for staff clinical documentation competency and identify training priorities • Develop correction plans with branch leadership based on clinical record review findings • Monitor documentation accuracy and timeliness, and flag deviations in real time • Identify training gaps and develop competency plans • Maintain a living risk register for each active market • Develop action plans to address systemic patterns in documentation errors • Provide real-time EMR and workflow guidance to branch staff

Role Description The Clinical Quality Manager is a centralized, remote RN role that provides clinical backbone support to the field clinical team. This is not a field position — the Clinical Quality Manager operates from a central hub to ensure that orders, EMR workflows, back-office clinical functions, and regulatory and billing compliance tasks are completed with accuracy and timeliness. The Clinical Quality Manager brings the knowledge and expertise of a registered nurse to back-office functions that require clinical oversight — processing and approving orders, monitoring patient status flags in EMR/dashboards, and supporting quality and compliance tracking. This role is purpose-built to take high-volume, process-intensive clinical tasks off the branch Clinical Manager's plate so that the branch Clinical Manager can focus on direct clinical oversight, coaching, and rehospitalization prevention in the field. This is NOT a passive support role. The Clinical Quality Manager is accountable for timely, accurate clinical decision-making within the EMR. You will own workflows that directly affect patient safety, billing integrity, and regulatory compliance. What You'll Do - Drive quality, safety, and compliance through systems - Identify recurring clinical and documentation issues and implement process improvements - Support quality assurance activities by ensuring clinical work meets standards before downstream review - Order management & EMR workflow execution - Review and approve new orders in EMR; ensuring: - compliance with documentation standards for verbal orders - orders are complete and address patient care needs - Complete clinical escalation reviews at intake to support referral processing - End of episode management - Review daily discharge reports; verify DC summaries and signed orders are complete and accurate - Confirm NOMNC is on file for all appropriate discharges - Process discipline-only and full discharge orders as they arise - Hospital Hold Process Management - Manage hospital hold information, inpatient transfer processes, and POC completion for hospitalized patients - Discharge clients in facility at end of episode as needed - Manage resumption of care workflows, ensure timely resumption of care, oversee pending delay approvals in the EMR - Quality & Compliance Monitoring - Review and track infection control reports - Monitor for wound score deviations and escalate appropriately - Review and trend QI events weekly; identify patterns and flag for clinical leadership - Review and process clinical alerts and potentially avoidable event notifications - Audit missed visits by clinician and unverified missed visits daily to support appropriate care delivery as well as LUPA risk management; confirm proper documentation and follow-up - Patient Status Monitoring - Monitor vital sign parameter alerts for active patients, ensuring appropriate documentation, notifications, and follow-up; escalating to branch Clinical Manager as appropriate - Review coordination notes for physician updates, medication interactions, and clinically significant medication issues - Review dashboards for change-in-condition with appropriate clinical judgment and escalation Qualifications - Active RN license (required) — clinical judgment is core to this role - Strong EMR proficiency with HCHB - Exceptional attention to detail and commitment to documentation accuracy - Ability to manage high-volume, time-sensitive workflows without losing quality - Understanding of home health regulatory requirements - Ability to work independently and manage time effectively in a remote environment - Clear written and verbal communication; ability to escalate clinical concerns appropriately

• Act as a liaison between the agency and the community regarding patient care • Gives high priority to compassionate patient care and patient satisfaction. • Ensures smooth transition from hospital to home setting. • Visits patients prior to discharge to set reasonable expectations. • Establishes a trusting relationship with patients and their care team. • Establishes, maintains, and expands relationships with referral sources. • Keeps detailed records of marketing activities and strategic initiatives. • Identifies and resolves service issues with emphasis on patient and referral-source satisfaction.

• Act as a liaison between the agency and the community regarding patient care • Gives high priority to compassionate patient care and patient satisfaction. • Ensures smooth transition from hospital to home setting. • Visits patients prior to discharge to set reasonable expectations. • Establishes a trusting relationship with patients and their care team. • Establishes, maintains, and expands relationships with referral sources. • Keeps detailed records of marketing activities and strategic initiatives. • Identifies and resolves service issues with emphasis on patient and referral-source satisfaction.

• Review all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency. • Proper clinical coding and scoring. • Validation of diagnosis coding and sequencing per CMS guidelines. • Provide clear, actionable feedback to clinicians when revisions are required. • Ensure OASIS submissions meet current CMS, Medicare, and payer requirements. • Identify recurring documentation trends or risk areas and contribute recommendations for improvement.

• Act as a liaison between the agency and the community regarding patient care • Gives high priority to compassionate patient care and patient satisfaction. • Ensures smooth transition from hospital to home setting. • Visits patients prior to discharge to set reasonable expectations. • Establishes a trusting relationship with patients and their care team. • Establishes, maintains, and expands relationships with referral sources. • Keeps detailed records of marketing activities and strategic initiatives. • Identifies and resolves service issues with emphasis on patient and referral-source satisfaction.