senior quality assurance specialist

INFINITE HOME HEALTH

Quality Assurance (QA) Specialist &ndash; Home HealthCompany: Infinite Home Health Location: Woodland Hills, CA Employment Type: Full-Time, In-PersonPosition OverviewInfinite Home Health is seeking an experienced and highly detail-oriented Quality Assurance Specialist to oversee the accuracy, completeness, and regulatory compliance of clinical documentation.This is not an entry-level position. The ideal candidate has direct experience reviewing Home Health charts, conducting OASIS audits, managing physician orders and Plans of Care, and ensuring documentation is complete and ready for billing.The QA Specialist will work closely with clinicians, clinical leadership, intake, scheduling, and billing to identify documentation issues, obtain corrections, and prevent delays in reimbursement.Key Responsibilities<ul><li>Review and audit Start of Care, Resumption of Care, Recertification, Transfer, and Discharge documentation</li><li>Perform detailed OASIS reviews for accuracy, consistency, completeness, and regulatory compliance</li><li>Confirm clinical documentation supports medical necessity, skilled need, homebound status, and ordered services</li><li>Verify that visit notes, assessments, frequencies, diagnoses, and physician orders are consistent throughout the patient chart</li><li>Review Plans of Care, verbal orders, supplemental orders, and unsigned physician documents</li><li>Track outstanding documentation and follow up with clinicians until all required corrections and signatures are completed</li><li>Review charts for pending, corrected, sent-to-office, and unsigned documentation statuses</li><li>Ensure clinical notes include all required elements, including visit details, interventions, patient response, progress, and time in and out</li><li>Identify missing visits, documentation gaps, conflicting information, and potential billing or compliance risks</li><li>Communicate corrections clearly and professionally to nurses, therapists, and other clinical staff</li><li>Confirm charts are complete, compliant, and ready for billing within required deadlines</li><li>Maintain organized QA tracking reports and provide updates regarding outstanding documentation</li><li>Assist with Medicare audits, CDPH surveys, payer reviews, and internal compliance assessments</li><li>Participate in Quality Assessment and Performance Improvement initiatives</li><li>Recommend workflow improvements that increase documentation accuracy and reduce billing delays</li><li>Escalate repeated documentation deficiencies or unresolved compliance concerns to clinical leadership</li></ul>Required Qualifications<ul><li>Minimum of 2 years of recent Home Health experience</li><li>Direct experience in Home Health Quality Assurance, clinical documentation review, or chart auditing</li><li>Strong working knowledge of OASIS documentation and review requirements</li><li>Knowledge of Medicare Conditions of Participation and Home Health documentation standards</li><li>Experience reviewing Start of Care, Recertification, Resumption of Care, and Discharge documentation</li><li>Understanding of Plans of Care, physician orders, skilled need, medical necessity, and homebound criteria</li><li>Familiarity with ICD-10 diagnoses and their relationship to clinical documentation</li><li>Experience using Devero, Netsmart, or a comparable Home Health EMR system</li><li>Ability to identify documentation inconsistencies and provide clear correction instructions</li><li>Strong organizational skills and the ability to manage a high volume of charts and deadlines</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently while collaborating with clinical, administrative, and billing teams</li></ul>Preferred Qualifications<ul><li>Active California license as an RN, LVN, PT, PTA, OT, or COTA</li><li>Prior experience as a Home Health QA Specialist, Clinical Supervisor, Case Manager, or OASIS Reviewer</li><li>Experience preparing charts for Medicare, CDPH, accreditation, or payer audits</li><li>Familiarity with QAPI, utilization review, and billing compliance</li><li>OASIS certification or advanced OASIS training</li><li>Experience providing documentation education or corrective feedback to field clinicians</li></ul>The Ideal CandidateWe are looking for someone who:<ul><li>Understands the full Home Health clinical documentation cycle</li><li>Can independently review a chart and determine whether it is compliant and billable</li><li>Catches inconsistencies before they create survey, compliance, or reimbursement problems</li><li>Follows documentation issues through completion rather than simply identifying them</li><li>Communicates confidently and professionally with clinicians</li><li>Works with urgency while maintaining accuracy</li><li>Takes ownership of deadlines, outstanding orders, and chart quality</li><li>Can help improve systems&mdash;not simply work within existing ones</li></ul>Performance ExpectationsSuccess in this position will be measured by:<ul><li>Timely completion of QA chart reviews</li><li>Reduction in incomplete, unsigned, and corrected documentation</li><li>Fewer billing delays caused by clinical documentation</li><li>Accurate OASIS and Plan of Care reviews</li><li>Timely follow-up with clinicians and physicians</li><li>Improved chart readiness for audits and surveys</li><li>Clear and accurate QA tracking and reporting</li></ul>Compensation and Benefits<ul><li>Competitive compensation based on experience, credentials, and OASIS expertise</li><li>Health benefits available</li><li>Full-time, stable employment</li><li>Opportunities for advancement within the organization</li><li>Supportive clinical and administrative leadership</li><li>Established agency with more than 20 years of service</li></ul>Why Join Infinite Home Health?Infinite Home Health has served patients throughout the Los Angeles area for more than 20 years. We are committed to providing high-quality, patient-centered care while maintaining strong clinical, compliance, and operational standards.This position is ideal for an experienced Home Health professional who values accountability, structure, accuracy, and continuous improvement.Application InstructionsPlease submit:<ul><li>Your current resume</li><li>A brief summary of your Home Health QA experience</li><li>Your level of experience reviewing OASIS documentation</li><li>The Home Health EMR systems you have used</li><li>Any active clinical licenses or OASIS certifications</li></ul>Please do not call the office. All initial communication will be conducted through Indeed unless you are contacted directly by our team.Work Location: In person &ndash; Woodland Hills, CAPay: $21.00 - $28.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Work Location: In person

Quality Assurance (QA) Specialist – Home Health

CorVel Corporation

<div>The Quality Assurance Specialist participates in all assigned activities to assist the Medicare Services team to ensure team compliance. The QA Specialist will work closely with all other team members completing activities such as file audits, training manual updates, document formatting, and work flow management assistance. This position is temporarily remote during pandemic.

This is a hybrid position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Responsible for team file reviews</li>
<li>Responsible for updating team training modules in SharePoint</li>
<li>Responsible for team outcome tracking in Excel</li>
<li>Responsible for tracking unit Medicare pricing in Excel</li>
<li>May assist Medicare Services VP with daily work flow</li>
<li>May assist Medicare Services VP with daily invoicing</li>
<li>May assist Medicare Service VP with marketing documents and customer outreach</li>
<li>Requires punctual and consistent attendance</li>
<li>Maintain HIPAA compliance in all aspects of communications</li>
<li>Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)</li>
<li>Provides general support to nursing staff and management</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Proficient in Microsoft applications especially Excel and SharePoint</li>
<li>Proficient in editing functions of Adobe Acrobat Professional</li>
<li>Detail oriented</li>
<li>Exceptional organizational skills</li>
<li>The ability to work independently, as well as with a team</li>
<li>The ability to work in a fast paced/production environment</li>
<li>Excellent written and verbal communication skills</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor&rsquo;s degree or combination of education and experience</li>
<li>6 months to 1 year demonstrated Microsoft applications experience</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $25.48 - $41.09 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management (https://www.corvel.com/company/careers/)

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Quality Assurance Specialist III

JASARA PMC

<div>Jasara Program Management Company is helping shape the future of social infrastructure in Saudi Arabia through a solutions-based, performance-driven approach. As a joint venture between Public Investment Fund, Jacobs, and Saudi Aramco, the company brings together deep expertise to deliver complex programs that support Vision 2030 and raise the standard for project delivery across the construction sector.
In this role, you will provide senior leadership for quality across major infrastructure and social development programs, helping ensure that quality is embedded as a core driver of delivery excellence. You will work closely with program and project stakeholders to strengthen governance, improve consistency, and support high standards across complex, multi-stakeholder environments.
Responsibilities<ul><li>
Lead quality assurance strategy across large-scale infrastructure and social development programs.</li><li>
Oversee compliance with quality standards, policies, and regulatory requirements.</li><li>
Drive continuous improvement initiatives to enhance project delivery and operational excellence.</li><li>
Collaborate with stakeholders to embed quality practices throughout program execution.</li></ul> 

Requirements 
<ul><li>
Bachelor's degree in engineering or a related field.</li><li>
10+ years of quality management experience in large-scale infrastructure programs.</li><li>
Proven leadership experience managing cross-functional quality and project teams.</li><li>
Experience driving continuous improvement initiatives within complex program environments.</li><li>
Ability to work effectively with project directors, client representatives, regulators, contractors, and senior leadership.</li><li>
An advanced degree in engineering or a related field is a plus.</li><li>
Experience with ISO 9001, internal or external audit programs, CAPA, Lean, or Six Sigma is a plus.</li></ul></div>

Senior Manager - Quality

Vermont Mutual Insurance Group

<div></div><div>JOB SUMMARY
Actively participate in troubleshooting issues, resolving problems, and updating insurance software application and table information to meet statutory or company requirements. Perform a variety of quality assurance support functions related to the data entry, statistical review and reporting, paperwork review, and maintenance of insurance policies. Provide support for business and IT staff, as well as assist business units in implementing solutions aimed at increasing the efficiency and effectiveness of their workflows and procedures.<h1 class="jobSectionHeader">
CHARACTERISTIC DUTIES &amp; RESPONSIBILITIES</h1><ul><li>
Create test plans/scenarios and test new versions, full system releases, miscellaneous fixes, and updates for insurance software applications. Analyze testing discrepancies to determine the cause as well as the corrective action needed and follow through on the solution. Creatively use available tools to facilitate testing efficiencies.</li><li>
Assist in the setup, configuration, testing, problem solving, documentation and general maintenance of the software applications as needed for quality assurance and integration testing.</li><li>
Assist with troubleshooting ad-hoc production system issues as needed. Receive, review and test a variety of problems encountered by the users while using their software applications, referring unusual or difficult problems to the appropriate resource with required documentation.</li><li>
Develop and maintain a good working knowledge of the core software applications in use by the company, the corresponding workflows as well as the company&rsquo;s business plans/goals, products, operating policies and procedures.</li><li>
Utilize issue tracking software to submit, update and monitor problem requests.</li><li>
Perform periodic statistical reviews and submit appropriate reports to external vendors.</li><li>
Review internal project documentation and identify discrepancies or changes needed, if any.</li><li>
Develop, maintain, and distribute vendor and independent company forms.</li><li>
Development and on-going maintenance of company documentation regarding policies and procedures for testing and supporting the insurance software applications.</li><li>
Review a variety of computer-generated reports, research questionable information, and distribute as appropriate to in-house staff or agents.</li><li>
Participate in the development of new software products or product enhancements.</li><li>
Ability to multi task and creatively use available tools to facilitate testing efficiencies.</li><li>
Keep up-to-date on relevant trends and technical developments in the field.</li><li>
Performs other duties or special projects as required or as assigned.</li></ul> 
SUPERVISION RECEIVED
Moderate supervision is received from the Quality Assurance Manager. Supervision may also be received from Project Managers and/or other senior staff members. 
QUALIFICATIONS<ul><li>
Bachelor&rsquo;s Degree in business or other appropriate discipline, plus 1 - 3 years relevant experience; or a combination of education and experience from which comparable knowledge and skills are acquired.</li><li>
Proficient with Microsoft Office products.</li><li>
Experience in the P&amp;C insurance industry a plus.</li><li>
Experience with document imaging programs desired.</li><li>
Ability to communicate effectively, both verbally and in writing.</li><li>
Strong math and analytical/problem solving skills.</li><li>
Strong planning, organizational, and time management skills. Ability to multi-task and work multiple project assignments at a time.</li><li>
Strong administrative, clerical and general office skills.</li><li>
Self-starter, able to work independently and in a team environment.</li><li>
Ability to deal effectively with other company personnel as well as outside vendors and consultants.</li></ul> 
PHYSICAL DEMANDS/WORKING CONDITIONS<ul><li>
Predominately sedentary office position with high frequency of keyboarding/computer work required.</li><li>
The physical demands are minimal and typical of similar jobs in comparable organizations.</li><li>
The work environment is representative and typical of similar jobs in comparable organizations.</li></ul> 
The salary range reflected is a good faith estimate of base pay for the position. In addition to base salary, this role is incentive compensation and benefits eligible, and individual salary will ultimately be determined based on individual experience, skills, qualifications and geographic location</div>

Quality Assurance Specialist I

US Department of Energy - Agency Wide

Quality Assurance Specialist

UNC Health

<div>Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
This position is responsible for providing leadership to ensure the validity of measurement, accuracy of data, patient safety, and regulatory compliance with quality improvement, reporting, and regulatory initiatives. A Clinical Quality Assurance Specialist uses a combination of nursing, quality, and informatics knowledge to manage data, processes, and information systems. In this role, the objectives include improving clinical care, clinical documentation, and reporting for treatment, prevention, drug administration regimens, recordkeeping practices, workflow procedures, medical decision-making, and pay-for-performance programs.
This position is based at UNC Health Chatham and follows a hybrid work schedule, with an expectation of working onsite two days per week. At this time, the role is dedicated exclusively to supporting UNC Health Chatham and does not include travel to or coverage of other UNC Health entities.
In addition to supporting quality and regulatory initiatives, this role offers the opportunity to become a trained Kaizen Coach (if not already certified). The incumbent may lead and coach continuous improvement initiatives, facilitate Kaizen events, and assist with the delivery of onsite Yellow Belt training to support a culture of continuous improvement across UNC Health Chatham.
Responsibilities:
1. Must be an active participant in staying current with all pay for performance programs, government regulations, and key health care system initiatives regarding medical record documentation and plan of care.
2. Performs medical record abstraction for the purpose of quality improvement or reporting. Review and analyze healthcare data and records, validating accuracy and quality documentation to ensure compliance with program requirements. Acts as primary resource and consultant for healthcare providers in regard to a complete and accurate medical record. Ensures that medical records meet regulations. Consults with healthcare provider or quality initiative team regarding missing documentation and ensures that the correct data is entered.
3. Presents results from data analysis to healthcare providers, chairs, appropriate boards, and quality initiative teams. Also presents at conferences, meetings, etc. on regulations and standards for documentation in medical records.
4. Promotes the improvement of patient care and clinical excellence in clinical information systems via effective collaboration with healthcare providers, business and quality analysts, and leaders of clinical programs and quality initiatives. Ensures that the health care system as an organization and clinical providers are following best practice care and are documenting in accordance with these clinical and quality initiatives.
5. Provides education to healthcare providers on best practice patient care as well as documentation, interpretation and compliance of the medical record. Collaborates with medical providers on the documentation for the elements of care for certain patient populations.
6. Works with quality initiative teams to improve care delivery and documentation. Provides support to develop and utilize processes that improve clinical documentation to support patient care, efficient clinical processes, and analytics needs. 
 
<h3 class="jobSectionHeader">Other Information</h3>
Education Requirements:<ul><li>
Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing
</li></ul>Licensure/Certification Requirements:<ul><li>
Licensed to practice as a Registered Nurse in the state of North Carolina.</li></ul>
Professional Experience Requirements:<ul><li>
Three (3) years of clinical experience in a healthcare setting.</li></ul>
Knowledge, Skills, and Abilities Requirements: 
 
<h3 class="jobSectionHeader">Job Details</h3>
Legal Employer: NCHEALTH
Entity: Shared Services 
Organization Unit: Unified Quality Chatham SES
Work Type: Full Time 
Standard Hours Per Week: 32.00
Salary Range: $35.87 - $51.57 per hour (Hiring Range)
Pay offers are determined by experience and internal equity 
Work Assignment Type: Hybrid
Work Schedule: Day Job 
Location of Job: US:NC:Siler City
Exempt From Overtime: Exempt: Yes 
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. 
 
 
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. 
 
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.</div>

Clinical Quality Assurance Specialist

ProPharma Group

<div>For the past 25 years, ProPharma has improved the health and wellness of patients by providing advice and expertise that empowers biotech, med device, and pharmaceutical organizations of all sizes to confidently advance scientific breakthroughs and introduce new therapies. ProPharma partners with its clients through an advise-build-operate model across the complete product lifecycle. With deep domain expertise in regulatory sciences, clinical research solutions, quality &amp; compliance, pharmacovigilance, medical information, and R&amp;D technology, ProPharma offers an end-to-end suite of fully customizable consulting solutions that de-risk and accelerate our partners&rsquo; most high-profile drug and device programs.
Our Medical Device client Is Looking For up to 5 Quality Assurance Consultants for a 6 -18 month engagement at their Hunt Valley, MD facility. There's currently a back log Of 400 investigations and roughly 70-100 CAPA's to be addressed. Team size consists Of 100 QA personnel on the team. Client is looking for:<ul><li>
those with Aseptic/Contamination COntrol background</li><li>
Someone onsite for the duration of the engagement</li><li>
prior remediation experience, as well as investigations experience</li></ul>
We celebrate our differences and strive to create a workplace where each person can be their authentic self. We are committed to diversity, equity, and inclusion. Employees are encouraged to unleash their innovative, collaborative, and entrepreneurial spirits. With a holistic approach as an Equal Opportunity Employer, we provide a safe space where all employees feel empowered to succeed.
All applications to roles at ProPharma are personally reviewed by a member of our recruitment team. We do not rely on AI screening tools to support our hiring process. You will always receive an outcome to your application so that you have an answer from us - whether you're successful or not.
Whilst ProPharma supports remote working, we also recognise the value that comes from in person collaboration. As such, we encourage any new hires that are based within a reasonably short commute of one of our offices to work on a hybrid basis and spend some time working from that office location, as agreed with your manager. All applications will be treated on their own merit and candidates will not be at any advantage or disadvantage based on their proximity to an office.
***ProPharma Group does not accept unsolicited resumes from recruiters/third parties. Please, no phone calls or emails to anyone regarding this posting.***</div>

Consultant - Quality Assurance Remediation Consultant (Hunt Valley, MD)

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