Note: The job is a remote job and is open to candidates in USA. Humana, a leading U.S. healthcare company, is seeking a Clinical Quality Assurance Specialist to enhance patient care and ensure regulatory compliance. The role involves collaborating with clinical teams, providing education, conducting audits, and supporting quality improvement initiatives.

Responsibilities

• Collaborate with branch leadership to develop and implement quality assurance and performance improvement strategies
• Provide education and coaching to field clinicians and case managers, including instructor-led sessions
• Support branches in regulatory compliance, survey readiness, and quality improvement plans
• Help with new hire onboarding and training focused on clinical documentation, OASIS, and regulatory requirements
• Conduct chart audits and data analysis, delivering applicable feedback to improve clinical quality and compliance
• Monitor and support quality investigations and compliance processes
• Partner with leadership to identify trends, gaps, and opportunities for improvement
• Contribute to special projects and organizational plans as assigned

Skills

• Current state license as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist
• Home health experience
• Proficiency in OASIS, CMS regulations, and clinical documentation standards
• 2+ years of training and learning development experience
• Understanding of curriculum design and adult learning principles
• Experience using several training tools to facilitate to a wide audience
• COS-C certification
• Experienced with Wellsky/Kinnser or comparable healthcare EMR platforms
• Bilingual (English and Spanish speaker)

Benefits

• Bonus incentive plan
• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Company Overview

Company H1B Sponsorship