Butte Home Health & Hospice | Chico, California
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.
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.
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
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
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
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
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
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
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
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.
