clinical quality assurance specialist

Integra Partners

<div><p>The Clinical Quality Analyst is responsible for monitoring, auditing, and documenting both clinical and non-clinical production quality in support of departmental goals and organizational standards. This role evaluates clinical documentation and decision-making across operational areas that require regulatory oversight, client-specific requirements, and compliance with medical policy, with an emphasis on accuracy, completeness, documentation quality, adherence to clinical and operational guidelines, and alignment with applicable regulatory and client standards. As needed, the role also performs non-clinical audits, including reviews of customer service interactions, system documentation, claims, administrative workflows, and other operational processes.</p><p>
The Clinical Quality Analyst participates in the development of quality monitoring formats and standards, ensuring fair and consistent evaluation practices across clinical and operational functions. This role provides clear, constructive feedback to team members and leadership, supports coaching efforts, and collaborates cross-functionally to identify trends, recommend solutions, and drive continuous improvement. The Clinical Quality Analyst documents audit results, prepares quality reports, and facilitates discussions with stakeholders to support service excellence and operational effectiveness across the organization<br>
<br>
 <b>JOB QUALIFICATION: KNOWLEDGE/SKILLS/ABILITIES</b><br>
The Clinical Quality Assurance Analyst responsibilities include but are not limited to:
</p><ul><li>Audit clinical reviews and documentation, including medical necessity determinations, regulatory compliance, and adherence to medical policy
</li><li>Ensure adherence to clinical guidelines, payer policies, and industry standards (NCQA, URAC, CMS, state and federal regulations.)</li><li>
Complete and document audits using standardized quality monitoring tools
</li><li>Collaborate with clinical and operational leadership, as well as training teams, to support targeted coaching, process improvement, and the development of content-based training that equips personnel with the skills needed for success
</li><li>Maintain compliance with HIPAA and confidentiality requirements
</li><li>Support special audits, regulatory readiness activities, and ad hoc analysis requests
</li><li>Perform non-clinical audits as needed &middot; Participate in and support the design of quality monitoring forms and quality standards
</li><li>Record evaluations utilizing departmental quality monitoring forms
</li><li>Collect, evaluate, report on, and track operational data against performance metrics
</li><li>Prepare and analyze quality reports for management review
</li><li>Prepare and facilitate quality calibration sessions with designated department leads
</li><li>Facilitate meetings and prepare presentations related to insight analysis
</li><li>Monitor trends and provide input or feedback on the information reported on
</li><li>Identify, analyze, and share ways to optimize the quality monitoring process
</li><li>Complete all evaluations, reports, and employee coaching sessions on a timely basis
</li><li>Ability to learn new systems, tools, and methodologies as needed and continue progressing in a dynamic environment
</li><li>Support ad hoc quality monitoring, reporting, and analysis activities based on operational needs
</li><li>Work and communicate cross-departmentally</li></ul><div><p><b>
QUALIFICATIONS:</b></p><ul><li>
Active, unrestricted LPN/LVN or RN license</li><li>
Minimum 2 years of experience in Utilization Management or related clinical operations in a healthcare or managed care setting</li><li>
Minimum of 1 year of experience performing Quality Assurance in a call center or other production-oriented service operations environment (or equivalent education and experience)</li><li>
Strong knowledge of clinical review processes, regulatory requirements, and medical necessity criteria (e.g., InterQual, MCG)</li><li>
Familiarity with UM software platforms and audit tools</li><li>
Proficient understanding of QA methodologies and quality monitoring practices</li><li>
Demonstrated ability to rapidly gain product, process, and tools knowledge and effectively communicate it to employees</li><li>
Ability to analyze data to identify root causes of quality issues and propose actionable solutions</li><li>
Excellent communication skills including listening, interpersonal, verbal, written, spelling, and grammar</li><li>
Ability to coach/motivate employees with tact in order to facilitate optimal performance</li><li>
Must exhibit leadership capabilities and interpersonal skills</li><li>
Maintain confidential information and abide by necessary rules and regulations</li><li>
Strong organizational, problem-solving, and analytical skills</li><li>
Manage conflicting priorities while clearly communicating and managing expectations</li><li>
Proficiency in Microsoft Office (Word, Excel, PowerPoint) for presentations and reports</li><li>
Flexible and able to multitask and work with changing priorities with enthusiasm</li><li>
Self-motivated, detail-oriented, and prepared to work independently or as an active team player</li><li>
Ability to remain focused and motivated during the auditing process</li><li>
Consistent track record of 95%+ in Quality and Production scores in current/previous roles</li><li>
Experience conducting clinical or non-clinical audits or quality assurance reviews</li></ul><p><b>
What will you learn in the first 6 months?</b></p><ul><li>
You will learn the function of the Quality Assurance team within the Operations organization.</li><li>
You will fully understand your job role and responsibilities and which tools assist you in your position</li><li>
Familiarized with Integra&rsquo;s QA platform (Genie) and how to navigate through it. Including how to adjudicate an audit appeal</li><li>
Comprehensive understanding of Integra&rsquo;s Utilization Management workflows and QA processes</li><li>
Subject matter expert in the Policy and Procedures for the department you audit</li><li>
During this time, you will set measurable goals for personal development and growth.</li></ul><p><b>
What will you achieve in 12 months?</b></p><ul><li>
You will be fully integrated with your job, company and team.</li><li>
You will be contributing your skills and knowledge to meeting your department's goals.</li><li>
You will become confident in leading meetings with Interdepartmental Management teams and presenting complex concepts related to quality analysis</li></ul><p><b>
EDUCATION:</b></p><div>
Bachelor&rsquo;s degree in nursing</div><div>
Healthcare Quality Certification (e.g., CPHQ) or willingness to obtain within 12 months<br>
<br>
<b>Salary:</b> 70,000/Annually</div></div><p><b><br>
Benefits Offered</b></p>
<ul><li>Competitive compensation and annual bonus program</li>
<li>401(k) retirement program with company match</li>
<li>Company-paid life insurance</li>
<li>Company-paid short term disability coverage (location restrictions may apply)</li>
<li>Medical, Vision, and Dental benefits</li>
<li>Paid Time Off (PTO)</li>
<li>Paid Parental Leave</li>
<li>Sick Time</li>
<li>Paid company holidays and floating holidays</li>
<li>Quarterly company-sponsored events</li>
<li>Health and wellness programs</li>
<li>Career development opportunities</li>
</ul>
<p><b>Remote Opportunities</b></p>
<p>We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington.</p>
<p><b>Our Story</b></p>
<p>Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health.</p>
<p>With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We&rsquo;re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.</p>
<p>Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don&rsquo;t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.</p><p>
</p><p>qY5GflkUpU</p></div>

Clinical Quality Assurance Analyst

MES Solutions

<div><div><div><b>Ready for a Rewarding Career that Fits Your Lifestyle?</b>
</div></div><p></p><div><div>Imagine a job where you can keep your <b>clinical skills sharp</b>, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?</div></div><p>
</p><p></p><div><div><b>MES</b> is looking for a <b>self-driven, high-performing Registered Nurse (RN)</b> to join our dynamic team as a <b>Clinical Quality Assurance Coordinator</b>. In this role, you&rsquo;ll ensure our <b>Peer Review case reports</b> are nothing short of exceptional&mdash;delivering top-notch quality and integrity, all while staying fully aligned with <b>client agreements</b>, <b>regulatory standards</b>, and <b>state and federal mandates</b>.</div></div><p>
</p><div><div>The position is <b>100% remote</b> with a schedule of<b> </b><b>Monday through Friday:
</b></div></div><ul><li><div>3 days: 12 - 8:30pm EST</div></li><li><div>
2 days: 8 - 4:30pm/ 9 - 5:30pm EST (flexible)</div></li></ul><p>
</p><ul><li><div>Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.</div></li><li><div>
Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.</div></li><li><div>
Ensures that all client instructions and specifications have been followed and that all questions have been addressed.</div></li><li><div>
Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.</div></li><li><div>
Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.</div></li><li><div>
Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.</div></li><li><div>
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</div></li><li><div>
Ensures the provider credentials and signature are adhered to the final report.</div></li><li><div>
Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</div></li><li><div>
Assists in resolution of customer complaints and quality assurance issues as needed.</div></li><li><div>
Ensures all federal ERISA and/or state mandates are adhered to at all times.</div></li><li><div>
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.</div></li><li><div>
Promote effective and efficient utilization of company resources.</div></li><li><div>
Participate in various educational and or training activities as required.</div></li><li><div>
Perform other duties as assigned.</div></li></ul><p>
</p><div></div><div><div>If you&rsquo;re ready to make a real impact in healthcare, all while enjoying the flexibility of working remotely, we want to hear from you!
</div></div><p></p><ul><li><div>Active RN nursing license required.</div></li><li><div>
Must be a graduate of an accredited nursing program or related medical experience; bachelor's degree preferred.</div></li><li><div>
A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
</div></li><li><div>Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.</div></li><li><div>
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.</div></li><li><div>
Must be a qualified typist with a minimum of 40 W.P.M</div></li><li><div>
Must be able to operate a general computer, fax, copier, scanner, and telephone.</div></li><li><div>
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.</div></li><li><div>
Must possess excellent skills in English usage, grammar, punctuation and style.</div></li><li><div>
Ability to follow instructions and respond to upper managements&rsquo; directions accurately.</div></li><li><div>
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.</div></li><li><div>
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</div></li><li><div>
Must be able to work independently, prioritize work activities and use time efficiently.</div></li><li><div>
Must be able to maintain confidentiality.</div></li></ul><p>
</p><p></p><div><div><b>MES Solutions</b> is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.</div></div><p>
</p><p></p><div><div>Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</div></div><div><div><b>
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</b></div></div><div><div><b><i>
MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.</i></b></div></div></div>

Clinical Quality Assurance Coordinator

Evergreen Holistic Learning Center

<p>Evergreen Mentorship is introducing a specialized role designed for a highly organized and experienced licensed behavioral health professional (LPCC-S, LISW-S, IMFT-S).</p><p>This position bridges the gap between initial client entry and ongoing clinical excellence. As a W2 employee, you will play a dual role: providing direct clinical services while serving as a key pillar in our quality assurance process by reviewing and overseeing documentation and compliance for our clinical team.</p><p><b>Key Responsibilities</b></p><p><b>Clinical Production (Minimum 15 Sessions/Week):</b> Maintain a consistent weekly schedule of at least 15 clinical sessions. This can be a flexible mix of:</p><ul><li><b>Initial Assessments (CPT 90791):</b> Conducting comprehensive biopsychosocial intakes and DSM-5 diagnoses.</li><li><b>Counseling Appointments (CPT 90834/7):</b> Providing ongoing 1:1 therapeutic support and evidence-based care.</li></ul><p><b>Clinical Review &amp; Quality Assurance (25 Hours/Week):</b> Oversee the clinical documentation and excellence of our clinical team by:</p><ul><li>Reviewing and auditing documentation from other Assessors and Counselors.</li><li>Verifying accuracy in EHR entries, treatment plans, and diagnostic reports.</li><li>Ensuring all clinical data meets Evergreen&rsquo;s high standards and regulatory requirements.</li><li>Providing feedback to clinicians to ensure medical necessity and audit readiness.</li></ul><p><b>Organizational Support:</b> Ensure that all documentation is accurate, timely, and reflects the mission of empowering our clients toward independence.</p><p><b>What We&rsquo;re Looking For</b></p><ul><li><b>Licensure:</b> Must hold a completely independent license in the State of Ohio (LISW-S, LPCC-S, or equivalent).</li><li><b>Experience:</b> 1+ years with Medicaid documentation standards and 1+ years within a CARF-accredited environment.</li><li><b>Clinical Authority:</b> Proven ability to evaluate complex cases and provide mentorship/feedback on clinical documentation.</li><li><b>Attention to Detail:</b> Exceptional organizational skills with a &quot;supervisor mindset&quot; for auditing and checking information.</li><li><b>Mission Alignment:</b> A heart for service and a commitment to helping clients re-engage successfully with society.</li><li><b>Deadline Orientation:</b> Ability to self-manage priorities to meet deadlines.</li></ul><p><b>Compensation &amp; Benefits</b></p><ul><li><b>Salary:</b> $70,000 &ndash; $75,000 per year.</li><li><b>Status:</b> W2 Employee (Full-Time).</li><li><b>Schedule:</b> 40 hours per week total.</li><li><b>Allocation:</b> This role follows a &quot;25/15&quot; model&mdash;25 hours dedicated to administrative oversight and quality assurance, and 15 hours dedicated to direct clinical production.</li><li><b>Stability:</b> The benefits and security of a W2 position within a fast-growing, mission-driven organization.</li></ul><p><b>How to Apply</b> If you are an independently licensed clinician in Ohio looking for a stable role that combines direct care with high-level clinical oversight, we want to hear from you. Please submit your resume to our recruitment team to grow with us.</p><p>Job Type: Contract</p><p>Pay: $70,000.00 - $75,000.00 per year</p><p>Benefits:</p><ul><li>Flexible schedule</li></ul><p>Experience:</p><ul><li>Clinical counseling: 1 year (Required)</li><li>Patient assessment: 1 year (Required)</li></ul><p>License/Certification:</p><ul><li>LPCC, LPCC-S,IMFT-S (Required)</li></ul><p>Work Location: Remote</p>

Assistant Clinical Director

Two Harbors Investment Corp.

The Default Claims Quality Assurance Specialist is responsible for monitoring and completing all activities related to the quality assurance review of claim filing in accordance with statutory compliance, regulatory compliance, and company guidelines. This position is responsible for managing claims timelines and workflow processes on accounts in which a claim must be filed. Accounts should be managed in accordance with established work rules, goals, and objectives to improve timeline and performance. The Default Claims Quality Assurance Specialist is expected to establish/maintain a culture of team collaboration, accountability, operational excellence, and unwavering commitment to customer service and satisfaction.
<br><br>
<b>Responsibilities:</b><br>
<ul>
<li>Responsible for servicing mortgage accounts to ensure the claim is processed in compliance with all state and federal laws while maintaining compliance with Investor, Insurer, Agency and company guidelines. This includes the following:</li>
<li>Manages assigned loans in the claims queue to ensure all required milestone(s) are met.</li>
<li>Maintains claims pipeline.</li>
<li>Reviews and approves claims documents as needed.</li>
<li>Performs required research on high risk/escalated files, providing a detailed account.</li>
<li>Follows departmental and business policies with strict adherence.</li>
<li>Prioritizes allocated work to ensure timely and accurate resolution to both external and internal partners.</li>
<li>Performs related duties as assigned by manager.</li>
<li>Stays current with pending regulatory and state law changes that could impact Claim processes.</li>
</ul>
Qualifications
<br><br>
<b>Required:</b><br>
<ul>
<li>2+ Years of Claim Experience</li>
<li>2+ Years FHA Claims Experience</li>
<li>Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary internal and external customer service.</li>
<li>Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.</li>
<li>Bachelor’s degree or equivalent work experience</li>
</ul>
<b>Desired:</b><br>
<ul>
<li>Minimum 3+ Years Mortgage Servicing Experience</li>
<li>GSE and Government Experience</li>
<li>BKFS and LoanSphere Experience</li>
</ul>
Physical Demands & Working Conditions
<br>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of their role.
<br><br>
<ul>
<li>Ability to communicate effectively through speech and hearing, both in-person and over the phone.</li>
<li>The employee is required to sit for extended periods of time and is occasionally required to stand and walk.</li>
<li>Remaining in a stationary position for extended periods, frequently sitting but occasionally involving standing or walking short distances; the employee may occasionally climb or balance, and stoop, kneel, crouch, or crawl.</li>
<li>Regular use of hands and fingers for tasks like keyboarding, operating office equipment, and filing documents.</li>
<li>Ability to lift and move objects weighing up to 10 pounds, and potentially up to 20 pounds occasionally.</li>
<li>Ability to observe details at close range, such as viewing a computer screen, reviewing documents, and performing data analysis.</li>
<li>The noise level in the work environment is usually quiet to moderate, and no extreme conditions are present.</li>
</ul>
About RoundPoint Mortgage Servicing LLC
<br>RoundPoint Mortgage Servicing LLC is a fully integrated, non-bank mortgage company, with a subservicing portfolio of approximately 900,000 loans. In 2023, RoundPoint was acquired by Two Harbors Investment Corp. (NYSE: TWO), reaffirming its commitment to MSR as core and essential to our business strategy and our future. A combined Two Harbors and RoundPoint capitalizes on the strengths of both companies, adding significant value for stakeholders through operational and cost efficiencies, as well as the ability to participate more fully in the mortgage finance space as opportunities arise.
<br>Founded in 2009, Two Harbors has grown into a leading publicly traded residential mortgage real estate investment trust (mortgage REIT). We leverage our core competencies of understanding and managing interest rate and prepayment risk to invest in our Agency residential mortgage-backed securities (RMBS) and mortgage servicing rights (MSR) portfolio, with the objective of delivering attractive risk-adjusted returns to our stockholders.
<br><br>
Location
<br><ul>
<li>Fort Mill, SC</li>
<li>Coppell, TX</li>
</ul>
Employee Status
<br><ul>
<li>Regular</li>
</ul>
Travel
<br><ul>
<li>No</li>
</ul>
Telecommuter
<br><ul>
<li>No</li>
</ul>


Default Claims Quality Assurance Specialist

Desert Parkway Behavioral Healthcare Hospital

<div><p>The position is a clinical/quality improvement specialist responsible for incident investigation, data analytics, regulatory compliance monitoring, and CMS aligned grievance management. This role requires clinical judgment or formal regulatory/quality training to interpret behavioral health events, identify trends, and support organizational risk mitigation strategies.</p><p><b>
KEY RESPONSIBILITIES</b>:</p><p><b>
Clinical/Regulatory Investigation &amp; Analysis</b></p><ul><li>
Conduct clinical‑level incident investigations (self‑harm, elopement, medication events, restraint/seclusion).</li><li>
Perform root cause analyses (RCA, FMEA).</li><li>
Evaluate clinical documentation for accuracy and regulatory compliance.</li><li>
Identify system‑level contributing factors and corrective actions.</li><li>
Collaborate with Nursing, Medical Staff, and Clinical Services on high‑risk events.</li></ul><p><b>
 Data &amp; Trend Analytics</b></p><ul><li>
Analyze incident data using statistical methods.</li><li>
Develop trend reports, dashboards, and risk profiles.</li><li>
Identify emerging patterns requiring intervention.</li><li>
Review and document within the incident reporting application.</li><li>
Present findings to leadership and committees.</li></ul><p><b>
 Regulatory Compliance</b></p><ul><li>
Monitor compliance with CMS, Joint Commission, and state regulations.</li><li>
Support survey readiness and mock tracers.</li><li>
Assist with policy development and regulatory updates.</li></ul><p><b>
Complaint and Grievance Management</b></p><ul><li>
Manage complaint and grievance intake, documentation, and timelines.</li><li>
Ensure CMS‑compliant investigation and written responses.</li><li>
Track complaint and grievance trends and identify systemic issues.</li></ul><br>
<b>
Requirements</b><br>
<ul><li>
Valid Nevada licensure as a Registered Nurse required
</li><li>Valid Nevada licensure as a Licensed Practical Nurse may be considered with equivalent healthcare and QI experience in lieu of RN license</li><li>
Certification in healthcare quality, compliance, or risk preferred</li><li>
Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required</li><li>
Hospital experience required; behavioral health clinical experience preferred</li><li>
Experience with incident investigation and RCA methodology</li><li>
Experience with survey readiness activities (CMS, Joint Commission, or state)</li><li>
Experience using incident reporting systems and managing data integrity</li><li>
Knowledge of CMS grievance regulations</li><li>
Ability to interpret clinical documentation and apply regulatory standards</li></ul><br>
<b>
Benefits</b><p><br>
A full benefits package is available the first of the month following just one month of employment.</p><p>
Desert Parkway offers competitive benefits for full-time employees to include:</p><ul><li>
Medical insurance
</li><li>Dental insurance</li><li>
Vision insurance
</li><li>401K Retirement Plan</li><li>
Healthcare spending account</li><li>
Dependent care spending account</li><li>
PTO Plan with holiday premium pay</li><li>
Discounted cafeteria meal plan</li><li>
Life insurance (including plans for spouse and children)</li><li>
Short- and long-term disability (with additional buy-in opportunities)</li><li>
Pet Insurance</li><li>
Identity Theft Insurance</li></ul></div>

Clinical Quality and Risk Coordinator

Compassus

<div><p><b>Company:</b></p>
Providence at Home with Compassus<p></p><p><b><br>
Position Summary</b></p><p>
The Clinical Quality Specialist is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Clinical Quality Specialist is primarily responsible for ensuring the accurate entry of all Start of Episode and OASIS forms for patient charts. S/he processes Home Health Director of Clinical Services workflows.</p><p><b><br>
Position Specific Responsibilities</b></p><ul><li>
Completes or reviews all client medical records regarding OASIS.</li><li>
Executes all OASIS reviews on a timely basis.</li><li>
Assures compliance with OASIS time frames as required by law.</li><li>
Completes OASIS activities as appropriate in conjunction with field staff.</li><li>
Reviews and processes the Home Health Director of Clinical Services workflow as assigned, including tasks related to start and resumption of episode, OASIS review and utilization.</li><li>
Performs other duties as assigned.</li></ul><p><b><br>
Education and/or Experience</b></p><ul><li>
Associate or bachelor's degree in nursing required.</li><li>
One (1) year experience in home health care required.</li><li>
QA experience in home health care preferred.</li><li>
Prior experience with electronic medical records preferred.</li></ul><p><b><br>
Skills</b></p><ul><li><b>
Mathematical Skills:</b> Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.</li><li><b>
Language Skills:</b> Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.</li><li><b>
Other Skills and Abilities:</b> Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.</li></ul><p><b><br>
Certifications, Licenses, and Registrations</b></p><ul><li>
Active and unencumbered Multistate Compact Registered Nurse license required.</li><li>
Current COS-C certification required at the time of hire or must be obtained within 90 days of hire.</li></ul><p><b><br>
Physical Demands and Work Environment: </b>The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 25 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to positions in our organization.<br>
<br>
At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.</p><p></p><p><b>
Compensation range: $80,000 - $90,000</b></p><p><br>
</p><p><i>The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities</i></p><p><br>
</p><p><b>Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more</b>.</p><p></p><p>
#LI-AV1</p><p></p><p><b>
Build a Rewarding Career with Compassus</b><br>
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.</p><p></p><p><b>
Your Career Journey Matters</b><br>
We&rsquo;re dedicated to helping you grow and succeed. Whether you&rsquo;re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.</p><p></p><div><b>
The Compassus Advantage</b><br>
<ul><li>Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.</li><li>Career Development: Access leadership pathways, mentorship, and personalized professional development.</li><li>Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.</li><li>Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.</li><li>Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.</li><li>A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.</li></ul></div><p></p><p><b>
Ready to Join?</b><br>
At Compassus, your career is more than a job&mdash;it&rsquo;s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.</p></div>

Clinical Quality Specialist

MERCOR

<div><p><b>About the job</b></p><p><b>
Mercor</b> connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include <b>Benchmark</b>, <b>General Catalyst</b>, <b>Peter Thiel</b>, <b>Adam D'Angelo</b>, <b>Larry Summers</b>, and <b>Jack Dorsey</b>.</p><p><b>
Position:</b> Mandarin Quality Assurance (QA) Expert<br>
<b>Type:</b> <b>Contract</b><br>
<b>Compensation:</b> <b>$30&ndash;$50/hour</b><br>
<b>Duration:</b> <b>2&ndash;3 weeks</b><br>
<b>Commitment:</b> <b>3&ndash;4 days/week</b></p><p><b>
Role Responsibilities</b></p><ul><li>
Evaluate <b>Mandarin-language healthcare conversations</b> for medical accuracy, clarity, and tone.</li><li>
Assess communication quality and contextual appropriateness in <b>AI-generated systems</b>.</li><li>
Provide structured written QA feedback to improve <b>AI model performance</b>.</li><li>
Flag linguistic or safety concerns to enhance <b>training data quality</b>.</li><li>
Participate in daily end-of-day check-ins to ensure consistent progress.</li></ul><p><b>
Qualifications</b></p><p><b>
Must-Have</b></p><ul><li>
Native or near-native <b>Mandarin</b> fluency.</li><li>
Professional healthcare background (nurse preferred).</li><li>
Strong written feedback skills.</li><li>
High attention to detail.</li></ul><p><b>
Compensation &amp; Legal</b></p><ul><li><b>
Hourly contractor</b>, <b>Paid weekly</b>.</li></ul><p><b>
Application Process (Takes 20&ndash;30 mins to complete)</b></p><ul><li>
Upload resume</li><li>
AI interview based on your resume</li><li>
Submit form</li></ul><p><b>
Resources &amp; Support</b></p><ul><li>
For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome</li><li>
For any help or support, reach out to: support@mercor.com</li></ul><p><i>
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.</i></p></div>

Healthcare Linguistics Quality Assurance Specialist Remote

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