We’re Hiring: Full-Time RN Quality Review Nurse

CareGivers America - NEPA, a Modivcare Home Care company, is seeking a skilled and mission-driven Registered Nurse to join our Quality Assurance team as a Quality Review Nurse.

Be the Nurse Who Champions Quality Care

Are you passionate about ensuring exceptional standards in patient care? Do you thrive in fast-paced environments, leveraging data and audits to drive healthcare improvements? Join our team and lead initiatives that make a real-world impact in home care services.

Location: Clarks Summit, PA (Northeastern Pennsylvania Region)
Schedule: Monday–Friday | 8:30 AM – 5:00 PM
Salary: $72K–$83K + Full Benefits

Benefits and Perks...

• Medical, Dental & Vision Insurance
• 401(k) with 6% Match
• Paid Time Off
• 10 Paid Holidays
• Employee Assistance Program
• Employee Discounts (retail, hotels, food, and more!)
• Voluntary Term Life and AD&D Insurance
• Legal Services Insurance
• Short-Term and Long-Term Disability
• Accident, Critical Illness & Hospital Indemnity Insurance

• As a Quality Review Nurse, you will be a key player in ensuring the delivery of safe, high-quality home care. In this role, you will:

• Review 485s and follow-up orders to ensure clinical accuracy and compliance with all regulatory standards
• Conduct audits, incident investigations, and complaint resolution, documenting findings and corrective actions
• Analyze care outcomes, satisfaction metrics, and compliance data to identify trends and drive improvements
• Collaborate with cross-functional teams to implement quality improvement projects
• Deliver training to clinical staff on QA processes, regulatory requirements, and industry best practices
• Maintain detailed and accurate records of all QA activities, including reports to senior leadership
• Participating in root cause analyses, developing action plans, and supporting external audit readiness
• Champion a culture of safety, compliance, and continuous improvement throughout the organization

• We Are Excited to Speak to Someone With...

• Active PA RN License (Required)
• OASIS and coding certification (Preferred)
• 4+ years of professional experience in home health or healthcare quality
• Strong familiarity with healthcare regulations and compliance standards
• Excellent communication, critical thinking, and problem-solving skills
• Experience with Microsoft Office tools (Word, Excel, PowerPoint, Outlook)
• Detail-oriented, analytical, and able to work independently in a dynamic environment

• We Live and Lead by Our Core Values...

• We treat everyone with dignity and RESPECT
• We earn the TRUST of our members, and each other
• We provide RELIABLE services that open doors
• We serve with courtesy and COMPASSION
• We prioritize SAFETY
• We communicate with purpose and TRANSPARENCY