Job Summary:

We are seeking a detail-oriented and proactive Quality Assurance Coordinator to oversee and enhance the quality and regulatory activities within our home care organization. This role involves managing third-party payer authorizations, overseeing referral intake processes, and ensuring compliance with regulations while optimizing business operations.

Essential Functions:

• Review, edit, and maintain departmental policies and procedures, ensuring ongoing regulatory compliance.
• Develop and update strategies for regulatory affairs and quality assurance based on emerging regulations.
• Ensure all regulated processes and systems are inspection-ready at all times.
• Monitor and report Key Performance Indicators (KPIs) and develop plans for continuous improvement.
• Implement programs focused on achieving 5-Star status, educating staff, and analyzing survey responses.
• Facilitate and lead QAPI (Quality Assurance and Performance Improvement) Committees, ensuring integration of organization-wide initiatives.
• Analyze performance trends, identify areas for improvement, and oversee the implementation of corrective actions.
• Collaborate with clinical leadership on regulatory reports, addressing any outliers and ensuring compliance with corrective plans.
• Manage intake and referral processes, ensuring seamless coordination between teams and clients.
• Support new hire orientation and perform on-call or weekend duties as assigned.

Qualifications:

• Bachelor’s Degree required; Master’s Degree strongly preferred.
• Experience in community-based healthcare or business operations is a plus.
• Strong knowledge of quality measures and regulatory compliance.
• 2+ years experience in community-based home care setting.

Knowledge, Skills, and Abilities:

• Strong leadership and collaboration skills.
• Expertise in project planning, prioritization, and outcome monitoring.
• Familiarity with healthcare regulatory standards and Department of Public Health requirements.
• Knowledge of healthcare terminology, quality metrics, and accreditation standards.
• Analytical mindset with the ability to interpret and act on qualitative and quantitative data.
• Excellent written and verbal communication skills.
• Highly organized with strong time management skills and the ability to thrive in a fast-paced environment.

If you are passionate about quality assurance and regulatory compliance, and you have the skills and drive to make a meaningful impact, we encourage you to apply for this position.