Logo for Adaptive Home Health

LVN/LPN QA Specialist - Weekends Only

Role overview

Qualifications

  • Active, unrestricted LPN or LVN
  • Minimum 2 years of home health experience
  • Strong understanding of Medicare home health reimbursement and PDGM
  • Excellent written and verbal communication skills

Responsibilities

  • Review and validate all assigned assessments for accuracy and completeness
  • Identify and correct errors impacting reimbursement and compliance
  • Provide clear, actionable feedback to field clinicians
  • Collaborate with clinical leadership to improve outcomes and maintain compliance

Key facts

Hard skills

Other skills

  • Quality Assurance
  • Detail Oriented
  • Microsoft Office
  • Non-Verbal Communication
  • Communication
  • Collaboration
  • Problem Solving

About the company

Adaptive Home Health logo

Adaptive Home Health

  • Home, Senior & Disability Care
  • 201–500
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home. Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients. The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.

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Job description

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.)

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.

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