IDD Quality Assurance Specialist II (Remote NC)

Trillium Health Resources; Hart's Location (NH); Remote; USD 56,000 - 70,000; Full time

Benefits offered by this job

Health Insurance

PTO 24 days + 12 holidays

401k with employer match

PSLF qualifying employer

Remote work supplies stipend

Job summary

Trillium Health Resources is seeking a Quality Management Specialist II - IDD to ensure HCBS services for Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, with focus on compliance with the final HCBS rule. You will collaborate with Care Management to uphold quality support and waiver adherence.

The role requires proactive assessment, monitoring, and partnership with the team to ensure consistent service quality and regulatory alignment

Qualifications

• Must meet Qualified Professional (QP) status per NC requirements.
• Must reside in North Carolina within 75 miles of Trillium's Southern Region.
• Must have a valid driver's license.
• Must be legally authorized to work in the United States without sponsorship.

Responsibilities

• Monitor HCBS services for compliance with state standards, waiver requirements, and Medicaid regulations.
• Promote satisfaction with services through ongoing communication and timely follow-up on concerns.
• Make announced/unannounced monitoring visits to members, including nights/weekends as needed.
• Ensure services are monitored as needed through direct observation, telephonic contact, emails, etc.

Skills

Qualified Professional (QP) status

Valid driver's license

Willing to travel

Education

Master’s degree in a human service field

Bachelor’s degree in a human service field

Bachelor’s degree in a non-human-services field with 4 years MH/DD/SA experience

Licensed RN with NC license and MH/DD/SA experience

Licensed by NC governing board in human services

Job description

Trillium Health Resources is seeking a Quality Management Specialist II - IDD to ensure HCBS services for Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, with focus on compliance with the final HCBS rule. You will collaborate with Care Management to uphold quality support and waiver adherence.

The role requires proactive assessment, monitoring, and partnership with the team to ensure consistent service quality and regulatory alignment