Quality Assurance Manager (Home Care)

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 BenefitsContinued EducationPTO PlanRetirement PlanningLife InsuranceEmployee discountsCompany matched 401KEssential DutiesDevelop, review, revise and implement standardized state specific policies, procedures and work processes that comply with Medicaid and other regulatory/contractual payer agreementsEducate 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 assignedPerformance ResponsibilitiesMaintain positive internal and external customer service relationshipsMaintains open lines of communicationPlans and organizes work effectively and ensures its completionMeets all productivity requirements Demonstrates team behavior and promotes a team-oriented environmentActively participates in Continuous Quality ImprovementRepresents the organization professionally at all timesPosition Requirements & CompetenciesBachelor's Degree in Business, Social Services, Public Administration, Nursing or a related field of study3 - 5 years of experience in health care, social services or a related industryAudit experience is preferredSome experience in a large, fast-paced, results-driven, multi-site organizationMust possess strong communication, written, interpersonal and organizational skillsProficiency 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 projectsPassionate, energetic, tenacious and resolute, with a high sense of urgency and a strong drive to produce resultsValid Driver's LicenseTo apply via text, text 8132 to (334) 518-4376#IndeedADCOR#ACADCOR#CBACADCOR#DJADCOREmployee wellbeing is top priority at Addus Homecare, and were thrilled to announce our recognition as the top healthcare company on Indeeds 2024 Top 100 Work Wellbeing Index. View the full rankings here:

Created: 2025-05-31