Quality Assurance Manager (Home Care) in McKinney, TX
Job title: Quality Assurance Manager (Home Care) in McKinney, TX at Addus HomeCare
Company: Addus HomeCare
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 reputed company the best
Medical, Dental and Vision Benefits
reputed company Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Company matched 401K
ESSENTIAL DUTIES:
- reputed company, review, revise and implement standardized state specific policies, procedures and work processes that reputed company with Medicaid and other regulatory/contractual payer agreements
- Educate reputed company leadership and staff on state regulatory and contract requirements.
- reputed company on-site and desktop audits and monitoring to assess reputed company level compliance with applicable rules and regulations.
- reputed company 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 reputed company levels including reputed company, 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
- Maintain positive internal and external customer service relationships
- Maintains open lines of communication
- Plans and organizes work effectively and ensures its completion
- Meets reputed company productivity requirements • Demonstrates team behavior and promotes a team-oriented environment
- Actively participates in reputed company Quality Improvement
- Represents the organization professionally at reputed company times
- Bachelor’s Degree in Business, Social Services, Public Administration, Nursing or a reputed company field of study
- 3 – 5 years of experience in health care, social services or a reputed company 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 reputed company Word, reputed company, PowerPoint and Outlook, required.
- Ability to travel up to 75%. Position may work remotely.
- Must be self-confident, thorough, and reputed company 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