RN Executive Assistant - Quality Assurance (Remote | US Client)

Salary: $7.50/hr - $8.50/hr

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Note: Applicants that don't apply directly will not be considered.

Overview

We are seeking an experienced RN Executive Assistant with a strong focus on Quality Assurance (QA) to support a growing U.S.-based home health agency serving veterans and high-acuity patients.

This role is critical in ensuring clinical documentation accuracy, regulatory compliance, and overall survey readiness, while providing direct support to leadership in maintaining smooth day-to-day operations.

This position is ideal for a highly experienced nurse who can operate independently, take ownership of QA processes, and deliver reliable, detail-driven work. In addition to core QA responsibilities, the role will provide light operational support, including oversight of scheduling and authorization tracking, within a fast-paced and expanding environment.

Key Responsibilities

• Review clinical documentation for accuracy, completeness, and compliance
• Perform ongoing chart audits to ensure adherence to Medicare, Medicaid, and VA guidelines
• Identify documentation deficiencies and communicate corrections to clinical staff
• Support survey readiness and accreditation preparation
• Maintain audit-ready records and ensure regulatory compliance at all times
• Assist in developing and maintaining QA processes and workflows
• Monitor documentation timeliness including visit notes, orders, and certifications
• Ensure EMR (Axxess or similar) documentation is accurate and up to date

• Serve as a clinical executive assistant to the owner and Director of Nursing
• Provide high-level support to relieve clinical leadership workload
• Assist with tracking and managing authorizations to ensure timely approvals
• Review schedules to ensure alignment with authorized services and patient needs
• Support coordination between clinical, intake, and administrative functions
• Help monitor operational workflows and flag inefficiencies or gaps

• Assist with scheduling oversight and adjustments as needed
• Support authorization tracking and follow-ups
• Collaborate with intake and coordination teams as needed
• Take on additional administrative or clinical support tasks as the agency grows

• Active RN license required
• Minimum 3+ years of home health experience (required)
• Strong Quality Assurance / chart audit experience in home health
• Experience with Axxess EMR or similar system required
• Strong understanding of Medicare, Medicaid, and/or VA home health requirements
• Experience with survey readiness and accreditation processes
• Ability to work independently with minimal training or supervision
• Strong attention to detail and organizational skills
• Excellent communication and problem-solving abilities

• Experience working with VA or veteran patient populations
• Prior experience in a QA or compliance-focused role
• Experience supporting fast-growing home health agencies
• Familiarity with multi-service lines (SN, PT, ST, etc.)
• Experience in an executive assistant or leadership support capacity

What we offer:

• Competitive compensation
• Fixed U.S. working schedule
• Fully remote role — work from anywhere
• Direct collaboration with U.S. small businesses and entrepreneurs
• Paid time off — 10 PTO days per year, plus 6 U.S. holidays off