QA Audit Lead & Trainer: Home Health Compliance

Integrated Home; Florida; Vor Ort; USD 70.000 - 95.000; Vollzeit

Benefits dieser Stelle

Medical, Vision, Dental, Short- and •

6+ Days of Holidays Pay

13 days of PTO

Employer paid life insurance

401K with employer contribution

Wellness program with reward incent

Employee recognition and reward程序

Zusammenfassung

Integrated Home Care Services (IHCS) is seeking a QA Audit Specialist and Trainer to strengthen regulatory compliance across HH, DME, and infusion services. You will lead audits, train staff, and collaborate with cross-functional teams to ensure accuracy and adherence to CMS, NCQA, URAC standards.

Join IHCS to help drive continuous improvement, support quarterly audits, and promote high-quality patient care in a dynamic home health environment in Florida.

Qualifikationen

• 2-5 years of experience in healthcare auditing, quality assurance, or utilization management.
• Experience with state and federal regulations including Medicare/Medicaid.
• Familiarity with accreditation standards (URAC, NCQA, Joint Commission, ACHC).
• Strong understanding of utilization management and medical necessity criteria (CMS/NCQA/URAC).
• Proficient with Microsoft Word, Excel, and PowerPoint.

Aufgaben

• Ensure compliance with state and federal regulations for prior authorization across HH, DME, and infusion services.
• Support health plan audits conducted quarterly or annually.
• Conduct monthly employee audits to assess policy adherence and identify improvement areas.
• Provide actionable feedback to improve quality and regulatory compliance.
• Collaborate with internal teams to maintain accuracy and efficiency of prior authorization procedures.

Kenntnisse

Healthcare auditing

Regulatory compliance

Data analysis

Investigative skills

Problem-solving

Tools

Microsoft Office

Jobbeschreibung

Integrated Home Care Services (IHCS) is seeking a QA Audit Specialist and Trainer to strengthen regulatory compliance across HH, DME, and infusion services. You will lead audits, train staff, and collaborate with cross-functional teams to ensure accuracy and adherence to CMS, NCQA, URAC standards.

Join IHCS to help drive continuous improvement, support quarterly audits, and promote high-quality patient care in a dynamic home health environment in Florida.