LVN/LPN QA Specialist - Weekends Only

Job Description

• Role: Home Health Quality Assurance LPN/LVN (QA LPN - Weekends)
• Comp: $ 25-32
• Schedule: Remote, Sat/Sun
• Location: Remote

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our QA LPN/LVN 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.

Who We Are:

We build technology to better support our clinical operations and compliance teams. Our documentation and QA workflows are designed to streamline reduce rework, and maintain defensible, high-quality submissions.

If you have sharp clinical judgment and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance.

What will you do:

• Review and validate all assigned assessment (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency
• 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
• 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 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

Why Adaptive

• Clear, performance-based comp: $25-$32
• Remote flexibility: Work from home with flexible hours
• 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

Requirements

Must-haves

• 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 (HCHB preferred) and Microsoft Office

Nice-to-haves

• 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

Performance Expectations

• Accurate and compliant reviews with minimal rework
• Consistent turnaround times aligned with agency workflow needs
• Clear, professional, and constructive communication with clinicians and leadership
• Ongoing adherence to quality and compliance standards
• Proactive identification of trends and process improvement opportunities

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.)