Quality Assurance Manager (Home Care)

TieTalent; Town of Texas (WI); Remote; USD 75,000 - 90,000; Full time

Job summary

A leading company is seeking a Regional Quality Assurance Manager responsible for ensuring compliance in home care services throughout Texas. This remote position requires 50% travel and involves auditing, policy development, and maintaining quality outcomes. Ideal candidates will have a bachelor's degree and relevant healthcare experience.

Benefits

Medical, Dental, and Vision Benefits

Continued Education

PTO Plan

Retirement Planning

Life Insurance

Employee discounts

Company-matched 401K

Qualifications

• 3-5 years of experience in healthcare or related industry.
• Audit experience preferred.
• Valid Driver's License required.

Responsibilities

• Develop and implement standardized policies for compliance.
• Perform audits and oversee corrective actions.
• Educate staff on regulatory requirements.

Skills

Strong communication

Interpersonal skills

Organizational skills

Proficiency in Microsoft Office

Education

Bachelor's Degree in Business, Social Services, Public Administration, Nursing

Job description

POSITION SUMMARY: Reporting to the Vice President of Quality Assurance, the Regional Quality Assurance Manager is responsible for ensuring in-home care service provision complies with Medicaid, Medicaid waiver, MCO, and other licensure and contractual requirements throughout Texas.

Location: This is a Texas-based remote position with 50% travel!

We offer:

• Medical, Dental, and Vision Benefits
• Continued Education
• PTO Plan
• Retirement Planning
• Life Insurance
• Employee discounts
• Company-matched 401K

ESSENTIAL DUTIES:

1. Develop, review, revise, and implement standardized state-specific policies, procedures, and work processes that comply with Medicaid and other regulatory/contractual payer agreements.
2. Educate branch leadership and staff on state regulatory and contract requirements.
3. Perform on-site and desktop audits to assess branch compliance with applicable rules and regulations.
4. Oversee and support external agency audit processes, including preparation, deficiency remediation, and corrective action planning.
5. Monitor corrective action execution and drive accountability.
6. Drive operational compliance and quality outcomes.
7. Report audit findings at all levels, including branch, regional, and senior leadership.
8. Facilitate investigation, reporting, and resolution of critical incidents and complaints.
9. Review records and documentation to investigate recoupment requests.
10. Perform other duties as assigned.

PERFORMANCE RESPONSIBILITIES:

• Maintain positive internal and external customer service relationships.
• Maintain open communication lines.
• Plan and organize work effectively to ensure completion.
• Meet productivity requirements.
• Promote a team-oriented environment.
• Participate in Continuous Quality Improvement.
• Represent the organization professionally.

POSITION REQUIREMENTS & COMPETENCIES:

• Bachelor's Degree in Business, Social Services, Public Administration, Nursing, or related field.
• 3-5 years of experience in healthcare, social services, or related industry.
• Audit experience preferred.
• Experience in a large, fast-paced, multi-site organization is a plus.
• Strong communication, interpersonal, and organizational skills.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to travel up to 50%; remote work possible.
• Self-confident, thorough, and prompt in completing tasks.
• Passionate, energetic, tenacious, with a high sense of urgency.
• Valid Driver's License required.

To apply via text, text 8132 to [phone].

Employee wellbeing is a top priority at Addus Homecare. We are recognized as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the rankings at: https://www.indeed.com/employers/work-wellbeing/work-wellbeing-100-ranking.