Quality Assurance Manager (Home Care) Job at Addus HomeCare, Frisco, TX

UXFFWWtvdVAzeVBmTjNaZ2htYVk3cHdOWEE9PQ==
  • Addus HomeCare
  • Frisco, TX

Job Description

POSITION SUMMARY: Reporting to the Vice President of Quality Assurance, the Regional Quality Assurance Manager is responsible for facilitating and assuring in home care service provision is compliant with applicable Medicaid, Medicaid waiver, MCO, and other licensure and contractual requirements throughout Texas.
Location: This is a Texas based remote position. This position is also heavy travel
>> We offer our team the best
  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts
  • Company matched 401K
Essential Duties
  • Develop, review, revise and implement standardized state specific policies, procedures and work processes that comply with Medicaid and other regulatory/contractual payer agreements
  • Educate branch leadership and staff on state regulatory and contract requirements.
  • Perform on-site and desktop audits and monitoring to assess branch level compliance with applicable rules and regulations.
  • Oversee and support external agency audit processes including audit preparation, deficiency remediation and corrective action planning.
  • Monitor corrective action execution and drive accountability.
  • Drive operational compliance and quality outcomes.
  • Report internal and external audit findings at all levels including branch, regional and senior leadership.
  • Facilitate investigation, reporting and resolution of critical incidents and complaints.
  • Investigate requests for recoupments by reviewing records and documentation.
  • Performs other duties as assigned
Performance Responsibilities
  • Maintain positive internal and external customer service relationships
  • Maintains open lines of communication
  • Plans and organizes work effectively and ensures its completion
  • Meets all productivity requirements
  • Demonstrates team behavior and promotes a team-oriented environment
  • Actively participates in Continuous Quality Improvement
  • Represents the organization professionally at all times
Position Requirements & Competencies
  • Bachelor’s Degree in Business, Social Services, Public Administration, Nursing or a related field of study
  • 3 – 5 years of experience in health care, social services or a related industry
  • Audit experience is preferred
  • Some experience in a large, fast-paced, results-driven, multi-site organization
  • Must possess strong communication, written, interpersonal and organizational skills
  • Proficiency in using Microsoft Word, Excel, PowerPoint and Outlook, required.
  • Ability to travel up to 75%. Position may work remotely.
  • Must be self-confident, thorough, and prompt in completing assignments and projects
  • Passionate, energetic, tenacious and resolute, with a high sense of urgency and a strong drive to produce results
  • Valid Driver’s License
To apply via text, text 8132 to (334) 518-4376
#IndeedADCOR
#ACADCOR
#CBACADCOR
#DJADCOR
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here:

Job Tags

Contract work,

Similar Jobs

City of Essex Junction

Site Co-Coordinator - Fleming School Job at City of Essex Junction

 ...achievement. Assist in developing, compiling, and organizing instructional materials under the classroom teacher's or special educator's direction. Play a supportive role in evaluating student progress, problems, and needs. Participate in developing formats for student... 

Virginia Transformer Corp

Maintenance Manager Job at Virginia Transformer Corp

 ...conceivable application GSU, substations, auto-transformers, grounding transformers, drive duty, rectifier, exciter, voltage...  ...limited to and may be changed or added to at any time. The Maintenance Manager is Responsible for: Up keep, repair, installation of... 

PLUGplay

Brand Ambassador Job at PLUGplay

 ...DOE We are currently looking for an outgoing and sociable Brand Ambassador to represent our company. You will be the face of the brand...  ...open to working a variety of shifts including days, nights, weekends and holidays Utilize social media to engage consumers Drive... 

Costco Wholesale

Class A Truck Driver Job at Costco Wholesale

 ...operation and updates throughout the day. Records mileage and time on...  ...Hours Experience: Truck Driving: 2 years (Required)....  ...Reefer. Trucking route: ~ Local. Home Time policy: ~ Daily...  ...Vehicle: ~2020 Volvo VNR Day Cab. Schedule: Weekends... 

BayOne Solutions

User Experience Writer Job at BayOne Solutions

 ...Job Title- Lead UX Writer Duration- 03+ Months with Possible extension Location Palo Alto, CA(Hybrid) JOB DESCRIPTION ALL RESUMES SHOULD HAVE LINK TOA PORTFOLIO, WITH PASSWORD, AT TOP OF RESUME. IF NOT- THEY WILL BE REJECTED- it should highlight candidate...