ResCare Community Living
OverviewOur Quality, Risk and Compliance teams focus on maintaining compliance and auditing to mitigate risk for our operations. This keeps the company in compliance with State, Federal and overall company requirements, but most importantly to keep our clients safe and to help them live their best life. If your passion is ensuring service quality and fostering compliance, apply today!
Responsibilities The Quality Audit Specialist will ensure that qualified providers of Medicaid services meet the federal or state standards for the provision of car. Auditing of qualified provider credentialing will be conducted on a frequency as determined by operational need. The reviewer will conduct the audits with a focus on providing a report on the operations compliance with State, Federal and company requirements as it relates to Medicaid qualified provider credentialing for the state of WV. The purpose of this role is to, foster compliance with internal and external requirements, and provide education for field operations regarding requirements and the audit processConduct Qualified Provider Quality Audits using the required tool(s), based on service line and applicable toolReport findings to Executive Director and Regional Director upon conclusion of the audit.Provide timely and accurate reports to OperationsImmediately report areas of significant deficiencies, quality concerns to supervisor and operation leadershipCommunicates directly with the Executive and Regional Directors any reportable findings or issues identified during the review that could potentially put the Company at risk.Attend provider monthly calls hosted by the auditing entity to remain current on policy revisions and FAQ guidance for service providers.Other Duties as assigned by the Regional Director. Qualifications One to three years prior work experience in Community Living, HomeCare, Home Health, Hospice or Rehab Without Walls requiredPrior experience in conducting audits/quality reviews or experience in WV IDD Waiver services preferredMust be able to work independentlyRequires excellent written and oral communication skillsProven ability to manage multiple prioritiesWorking knowledge of regulatory requirements for assigned Line of BusinessExcellent computer skills including Microsoft Word, Excel and PowerPointMust be willing to work flexible hoursRequires up to 100% travel across multiple statesReviews will be completed in the operations to include residential homes, day programs, host/foster family homes, client homes and officesRemote work such as developing reports and preparation can be completed at home offices About our Line of Business ResCare Community Living, an affiliate of BrightSpring Health Services, has five 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. We provide 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.Salary Range USD $50,000.00 / Year Options Apply NowApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed iCIMS Application FAQs
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