Quality Assurance Coordinator - CalAIM

Socket.dev; Fresno (CA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

DailyPay

Tuition assistance

EAP & counseling

Life insurance

HSA

Wellness program

Banking discounts

Job summary

Wellpath seeks a Quality Assurance Coordinator to support QA initiatives in a correctional health care setting. You will help ensure records and documentation meet protocols and health care standards while monitoring performance data and CalAIM metrics.

Responsibilities include data collection, audits, and reporting, with collaboration across leadership to drive improvements and training. Nursing background and QA experience are required.

Qualifications

• Minimum one year of QA experience in healthcare or related setting.
• Two or more years in QA or holding quality certifications.
• Background in healthcare QA with CalAIM/Medi-Cal knowledge.
• Experience in correctional/detention facility environments is preferred.

Responsibilities

• Collects, analyzes, and oversees quality performance data and related data entry.
• Designs, conducts, and evaluates quality audits, reviews, and control plans.
• Performs and coordinates medical record and documentation reviews to abstract relevant data.
• Prepares and generates reports on performance against quality indicators and CalAIM metrics.
• Collaborates with leadership to address gaps, support training efforts, and implement corrective actions.

Skills

QA experience

CalAIM knowledge

Medi-Cal familiarity

Correctional facility experience

Education

Nursing degree (BSN/ equivalent)

Quality tools training

Job description

You Matter

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

Join us and find a career that supports:

• Caring for overlooked, underserved, and vulnerable patients
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

Why Us

Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

How you make a difference

The Quality Assurance Coordinator supports quality improvement efforts by managing how performance data is collected, reviewed, and shared within a correctional health care setting. Working under the direction of site leadership, the position helps ensure records and documentation meet required protocols and health care standards. The role focuses on monitoring compliance and driving quality improvement activities tied to CalAIM programs. It plays an important part in evaluating performance and supporting accountability for care delivered to the justice-involved population.

Key Responsibilities

• Collects, analyzes, and oversees quality performance data and related data entry
• Designs, conducts, and evaluates quality audits, reviews, and control plans
• Performs and coordinates medical record and documentation reviews to abstract relevant data
• Prepares and generates reports on performance against quality indicators and CalAIM metrics
• Collaborates with leadership to address gaps, support training efforts, and implement corrective actions

Qualifications & Requirements

Education

• Graduate degree from a nationally accredited nursing program
• Training in processes and quality tools

Experience

• Minimum one (1) year of experience
• Two (2) or more years of experience working in a QA setting or hold certificate in quality (i.e. Green Belt, Certified Quality Technician, Quality Improvement Associate or Quality Inspector)
• A background in healthcare quality assurance and a solid understanding of CalAIM policies and Medi-Cal requirements are essential for success in this role.
• Previous correctional/detention facility experience

Licenses/Certifications

• Current (and must maintain) lifesaving BLS certification through AHA
• Current (and must maintain) lifesaving ACLS certification through AHA

We are an Equal Employment Opportunity Employer

We value the contributions of team members with a broad range of experiences, skills, and perspectives and are committed to providing equal employment opportunity for all.

This position is available only to those who reside in the United States.

Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.