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BrightSpring Health Services

Home-based health services and pharmacy solutions

Quality Assurance Specialist

Regulatory Compliance & EthicsPosted on Nov 13
Full-timeMesa, AZ, USANo salary listedIn-person

About the Job

Requirements

  • A Bachelor's Degree in Social Services, Care Management, Psychology, Vocational Rehabilitation, or Occupational Rehabilitation, and three years of direct customer service experience in a clinical or social service environment, or an equivalent combination of education and experience.
  • Experience conducting quality assurance auditing activities is preferred.
  • Familiarity with the Wellness, Comprehensive Assessment, Rehabilitation and Employment (WeCARE) Program.
  • Experience with NYC Human Resource Administration/Family Independence Administration and Customized Assistance Services.
  • Experience with NYC integrated services that evaluate clients' abilities and address the needs of Cash Assistance clients with medical and/or mental health conditions that may affect their employability.
  • Experience working in a fast-paced, performance-driven team environment.
  • Customer service, engagement, and care management skills.
  • Organizational skills and attention to detail.
  • Experience with publicly funded programs and Temporary Assistance for Needy Families (TANF).
  • Experience working with Vocational Rehabilitation Services and Individual Vocational Assessment Plans.
  • Experience assessing clients' needs for reasonable accommodations.
  • Knowledge of HIPAA/PII laws and regulatory requirements related to program responsibilities.
  • Ability to use Microsoft Word Suite and various client-based systems to carry out daily duties and responsibilities.
  • Experience understanding clinical assessments and Functional Capacity Outcomes.

Responsibilities

  • Provide comprehensive audits to ensure programs and services are implemented to high standards and clients receive a high level of care.
  • Monitor NYC Human Resource Administration and EQUUS policies and procedures and update them to include regulatory changes.
  • Conduct statistical data comparisons using Microsoft Excel.
  • Develop quality improvement processes by reviewing clinical assessment activities and administrative systems.
  • Record, compile, and analyze performance and compliance information to ensure quality.
  • Review clinical assessment operational procedures and processes and make recommendations for improvement.
  • Apply comprehensive understanding of Quality Case Note Documentation and Standard Practices.
  • Evaluate internal reports related to clinical assessment processes and outcomes, and provide required monitoring documents to the manager for approval and, as required, submission.
  • Develop and implement continuous quality improvement processes.
  • Review customer survey data and provide management with recommendations for improvement, as needed.
  • Communicate with program management using good judgment and diplomacy.
  • Clearly articulate and document whether staff perform timely and accurate services according to operational procedures and processes.
  • Provide audit reports to the manager and keep management informed about the status of program quality matters, including performance.

Desired Qualifications

  • Experience conducting quality assurance auditing activities.
  • Bilingual or multilingual ability.

About the Company

BrightSpring Health Services

Home-based health services and pharmacy solutions

BrightSpring Health Services delivers home and community-based health services for people with complex or chronic needs, organized into two segments: Pharmacy and Provider. The Pharmacy segment provides specialty, infusion, and community pharmacy services to patients with complex conditions. The Provider segment offers behavioral health, home health, hospice care, and services for individuals with intellectual and developmental disabilities. The company runs an integrated care model through a network of pharmacies and providers to support a continuum of care that includes clinical services, care coordination, and in-home support. Revenue comes from Medicare, Medicaid, and private insurance, reflecting reimbursement across public and private payers. The goal is to coordinate pharmacy and in-home health services to improve access, continuity, and outcomes for patients and to serve managed care organizations with a complete care solution.

Company size
10,001+
Company stage
IPO
Headquarters
Lyndon, KY
Founded
1974

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