Clinical Quality Assurance Specialist

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🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $71.1k - $97.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Collaborate with branch leadership to develop and implement quality assurance and performance improvement strategies • Provide education and coaching to field clinicians and case managers, including instructor-led sessions • Support branches in regulatory compliance, survey readiness, and quality improvement plans • Help with new hire onboarding and training focused on clinical documentation, OASIS, and regulatory requirements • Conduct chart audits and data analysis, delivering applicable feedback to improve clinical quality and compliance • Monitor and support quality investigations and compliance processes • Partner with leadership to identify trends, gaps, and opportunities for improvement • Contribute to special projects and organizational plans as assigned

🎯 Requirements

• Current state license as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist. • Home health experience • Proficiency in OASIS, CMS regulations, and clinical documentation standards. • 2+ years of training and learning development experience • Understanding of curriculum design and adult learning principles • Experience using several training tools to facilitate to a wide audience.

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Paid parental leave • Short-term disability • Long-term disability • Life insurance