Description

A growing Healthcare Organization in Pomona is in the immediate need of a Quality Assurance Specialist. This role is in the healthcare industry and requires a keen eye for detail and a strong understanding of healthcare regulations. The primary function of this role is to ensure the quality of data by auditing and maintaining records, as well as providing training support.

Responsibilities:

• Assists with maintaining the Authority’s quality assurance program in accordance with federal, state, and local laws and regulations, Authority rules, guidelines and values; develops systems and standards for compliance evaluation; implements training, monitoring, and processes to ensure that Authority activities are in compliance with specified laws; recommends ways to integrate the quality assurance message into all aspects of the Authority’s business and human relations.

• Assists in determining the type and frequency of training needs; collaborates with the Quality Assurance Supervisor in the design and delivery of training; develops job specific training manuals to be used during staff training for each health center implementation and ongoing support.

• Coordinates with the Quality Assurance Supervisor in the implementation of policies and procedures concerning best practices and compliance issues.

• Reviews charts in the Electronic Health Records (EHR) system to monitor clinical staff records and to ensure compliance, trains staff and interns on documentation standards, new processes and on the chart review process.

• Assists with the facilitation of all internal and external quality assurance audits, assists program staff in preparing for audits; assists with collaborating on the implementation of any corrective action as a result of the audit.

• Participates in any needed training, meeting, committee, and compliance groups on monthly or quarterly basis; facilitates quality assurance meetings, workshops, and committees in order to enhance documentation quality.

• Creates and maintains internal quality assurance bulletin and provides this information to clinical program leadership and staff on a monthly or quarterly basis; maintains and archives external quality assurance bulletins and documents through tracking system.

• Compiles, monitors, and reports performance outcomes related to compliance and provides support to clinical department with outcome measures and general support with quality assurance performance measures; serves as contact for clinical programs and services.

Requirements Electronic Medical Record, Medi-Cal, Healthcare regulations, Excel Formulas, Audit Management, Health Care Audits - Medicare - Medicaid

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