Conducts case file record reviews for compliance with regulations/company processes and identifies opportunities for improvement or corrective actions to ensure contractual performance expectations.
Responsibilities
Conducts Site Reviews at locations as assigned and submit results.
Participate in the Pre-Survey Review process.
Review incident reporting and initiate follow up when needed.
Participate in follow up with Corrective action plans (survey, audits, etc)
Submit weekly QA reports in a timely manner to Quality Assurance Manager/Supervisor.
Present feedback to management regarding areas that need improvement.
Ensure all clients receive a return call within 24 hours of calling.
Review quality assurance standards, studies existing policies and procedures and interviews personnel and patients to evaluate effectiveness of quality assurance programs.
Implement and monitor standard operating procedures.
Other duties as assigned.
Qualifications
Associates degree in Human Services, education, psychology, sociology or related field required. Bachelor’s degree preferred.
Minimum two plus years related experience
Demonstrated knowledge of quality assurance procedures and federal, state and local coalition laws and mandates
Demonstrated knowledge of computers and knowledge of data management processes
Demonstrated knowledge of eligibility determination processes and filing procedures
About our Line of Business
ResCare Community Living has four decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental or cognitive disability. Our community living services are provided in 27 states with several thousand programs and a comprehensive range of high-quality services, including: Community Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote Support, Supported Employment and Training Programs, and Day programs. For more information, please visit www.rescarecommunityliving.com. Follow us on Facebook and LinkedIn.