About this role
AdventHealth Home Health and Hospice is hiring a full-time Regulatory Quality Improvement Coordinator RN to support multi-state hospice operations based out of Altamonte Springs, Florida, with travel across FL, IL, CO, GA, NC, and KS.
### What you'll do
- Coordinate all phases of record request processing, including ADRs, RAC requests, and Medicaid audits, ensuring submission deadlines are met.
- Manage all levels of appeals processes for denied claims and maintain tracking database integrity in collaboration with the Quality Service and Risk Coordinator.
- Develop and implement procedures for record request management and instruct clinical and administrative staff on audit and processing workflows.
- Collect and analyze data for the Quality Assessment and Performance Improvement (QAPI) process and identify performance improvement opportunities in clinical documentation.
- Coordinate communications with regulatory agencies and identify employee educational needs related to regulatory scrutiny.
- Partner with the Education Department to develop and deliver education programs tied to regulatory compliance.
### What we're looking for
- Active Registered Nurse (RN) license required.
- Bachelor's degree in Nursing, Health Care, or a related field required.
- Minimum 5 years of nursing experience required; minimum 1 year of hospice experience required.
- Knowledge of Medicare Conditions of Participation, Medicaid regulations, AHCA regulations, and NHPCO Standards of Practice.
- Proficiency in clinical software systems (e.g., HomeWorks) and Microsoft Office Suite.
- Certified Hospice and Palliative Nurse (CHPN) preferred; hospice or home health care management experience preferred.
### What's included
- Salary range: $60,749 – $97,198 annually.
- Medical, dental, vision, life, and disability insurance effective day one.
- Paid time off from day one and 4 weeks of 100% paid parental leave.
- 403(b) retirement plan.
- Career development resources and whole-person well-being support.
### About the practice
AdventHealth Home Health and Hospice is a mission-driven organization extending faith-based care across multiple states, with hospice programs operating in Florida, Illinois, Colorado, Georgia, North Carolina, and Kansas. The team operates Monday through Friday, day shift, offering a structured schedule within a large, well-resourced health system. AdventHealth supports employees through comprehensive benefits, professional growth pathways, and a culture centered on whole-person care.