Quality Registered Nurse

Job DetailsJob Location: Office - Chico, CA 95973Position Type: Full-Time/Part-TimeEducation Level: Professional License RequiredSalary Range: $50.00 - $60.00 Salary/monthTravel Percentage: Up to 50% Job Category: Health CareQuality RN

Butte Home Health & Hospice | Chico, California

Help Turn Clinical Excellence into Better Patient Care

At Butte Home Health & Hospice, we believe every patient deserves exceptional care—and continuous improvement starts with strong clinical oversight.

We're looking for an experienced Quality RN who is passionate about patient care, clinical excellence, regulatory compliance, and helping clinicians succeed. This is an exciting opportunity to help shape quality outcomes across one of Northern California's leading nonprofit home health and hospice organizations.

If you enjoy reviewing clinical documentation, identifying opportunities for improvement, supporting clinicians, and helping turn quality findings into better patient care, we'd love to meet you.

About the Role

The Quality RN supports our Quality Assurance and Performance Improvement (QAPI) program by reviewing clinical documentation, monitoring quality outcomes, identifying trends and risks, and collaborating with clinical leadership to improve patient care across our Home Health and Hospice programs.

This position serves as a clinical quality resource and strategic partner to leadership, helping ensure that documentation supports the patient's condition, plan of care, services provided, regulatory requirements, and organizational standards.

Rather than simply identifying problems, you'll help find solutions, strengthen clinical practice, and turn quality findings into meaningful improvements.

What You'll Do

Clinical Quality Review

Perform clinical record reviews and audits for Home Health and Hospice patients

Evaluate documentation for completeness, accuracy, consistency, and regulatory compliance

Review clinical records for alignment between the patient's condition, assessment findings, plan of care, interventions, and outcomes

Identify documentation gaps, clinical risks, and opportunities for improvement

Support accurate and timely completion of required clinical documentation

Provide clear, constructive feedback to clinicians and clinical leaders

Quality Assurance & Performance Improvement

Support the organization's QAPI program by monitoring and evaluating areas such as:

Hospitalizations

Emergency Department utilization

Falls

Infection trends

Wound outcomes

Medication management

OASIS quality measures

Home Health Value-Based Purchasing (HHVBP) metrics

Home Health Star Ratings

Hospice quality measures, including HOPE and CAHPS

Visit utilization

Length of Stay

Live Discharges

Patient complaints and grievances

Adverse events and clinical incidents

Other clinical and operational quality indicators

Performance Improvement & Clinical Support

Identify trends and opportunities for clinical improvement

Collaborate with clinical managers to investigate quality concerns and determine root causes

Help develop and implement Performance Improvement projects

Establish baseline performance and monitor progress over time

Assist with corrective action plans and follow-up monitoring

Provide education and coaching based on audit findings and identified trends

Help translate regulatory requirements and quality findings into practical improvements for frontline clinicians

Regulatory Compliance & Readiness

Support compliance with Medicare Conditions of Participation and other applicable federal and state requirements

Assist with survey readiness and ongoing regulatory compliance

Participate in preparation for state, federal, accreditation, and payer audits or reviews

Support clinical record requests, ADRs, audits, and other quality-related reviews as needed

Monitor changes in clinical regulations and quality requirements affecting Home Health and Hospice

Help ensure policies, procedures, documentation practices, and clinical workflows align with current requirements

Infection Prevention & Patient Safety

Support infection prevention and control activities across the organization

Monitor infection trends and assist with investigation and follow-up

Help identify opportunities to reduce patient safety risks

Support education related to infection prevention, adverse events, falls, wounds, and other quality concerns

Collaborate with leadership to develop effective interventions when trends or risks are identified

 
QualificationsWe're Looking For Someone Who...

Is passionate about clinical excellence and patient safety

Has strong clinical judgment and attention to detail

Enjoys reviewing documentation and identifying opportunities for improvement

Can provide constructive feedback in a supportive and professional way

Understands that quality is about improving care—not simply finding errors

Is naturally curious and willing to ask thoughtful questions

Can identify patterns and trends that others may miss

Is highly organized and able to manage multiple priorities

Works well independently while collaborating effectively across departments

Can translate complex clinical and regulatory requirements into clear, practical guidance

Preferred Qualifications

Current California Registered Nurse license in good standing

Minimum of two years of clinical nursing experience

Home Health or Hospice experience strongly preferred

Experience with clinical quality, QAPI, chart auditing, regulatory compliance, utilization review, case management, or clinical leadership preferred

Knowledge of Medicare Conditions of Participation and healthcare regulatory requirements

OASIS experience preferred for candidates supporting Home Health quality

Strong clinical assessment and documentation review skills

Excellent written and verbal communication skills

Strong organizational, analytical, and problem-solving abilities

Comfortable using electronic medical records, Microsoft Office, and quality reporting systems

Why Join Butte Home Health & Hospice?

As a nonprofit organization serving Northern California since 1984, our mission is simple: provide exceptional care to every patient and family we serve.

You'll join a collaborative team committed to clinical excellence, continuous improvement, innovation, and supporting our clinicians in delivering the highest quality care possible.

Your work won't simply identify what could be better—it will directly influence clinical practice, strengthen documentation, improve patient outcomes, reduce risk, and help shape the future of our organization.

This is more than an auditing position.

It's an opportunity to help turn quality into better care.