Quality Assurance Analyst, Sr. - Healthcare jobs in Chico, CA

Introduction to the Company

Home & Health Care Management is the oldest home health care agency in Northern California. Our agency specializes in delivering comprehensive in-home care and case management for older adults, children, and those living with disabilities across many counties. We use a matrix of Medi-Cal, Medicare and targeted health programs to find solutions that work for our clients.

Who You Are:

You are comfortable being part of the management team.

You are detail-oriented and understand that patient care cannot begin without consent, nor continue without a properly documented care plan.

You hold team members accountable in a positive way and motivate through clear direction and direct feedback.

You understand deadlines, and can work fast with a team to meet goals and productivity standards. 

You have worked with healthcare interdiscplinary teams before, and know that your role makes you an essential part of the clinical team. 

Responsibilities:

This is a new position developed to review of medical records of a special MediCal Waiver program, the Home & Community Based Alternative Waiver (HCBA) program, that provides nursing and social work to children and adults in 31 California counties.

This position will provide medical records review and management of medical records for approximately 1600 clients that are served in the HCBA program. 

This position will work with a dedicated clerical team of at least 4 to 6 clerical staff that coordinate with clinical managers in managing the multiple deadlines and care needs of our patients.  

Our team is responsible for tracking Plans of Treatment, signatures of medical providers, signatures and consents of clients and caregivers, answering questions from the public regarding the program, assisting RN adjudicating TARS, performing quality assurance of medical records to verify the timely and comprehensive assessments are documented and uploaded into a cloud based electronic medical record

The role reports directly to the CEO of the company.

Duties:

To perform this job you must be able to perform the following duties successfully:

• Review medical records for all clients to ensure that care can be delivered and program guidelines are adhered to
• Manage a dedicated clerical team and coordinate with clinical managers to meet the care needs of our clients in a timely fashion
• Perform quality assurance audits on medical records
• Ensure Plans of Treatment for clients are tracked
• Ensure proper documentation, including signatures of medical providers, signatures and consents of clients and caregivers, and uploaded into an electronic medical records system.
• Answer questions from the public regarding the program
• Adjudicate TARS as they arise

Required Skills and Abilities:

• Successfully managed programs and teams in previous jobs
• Ability to work with others, at all levels within the organization, and collaborate effectively.
• Above-average and professional interpersonal, problem-solving, and written and oral communication skills

• Computer application skills, and excellent knowledge of Microsoft office suite 
• Able to interpret and develop administrative procedures for programs

Essential Requirements:

• Valid California Driver’s License
• Eligible to be insured under our liability policy with a clean DMV report
• Your own vehicle and proof of current auto insurance
• COVID vaccinated or have an exemption.

Preferred Skills, Knowledge and Certifications

• Familiarity with medical terminology
• Background in medical records, or related clinical experience
• Certified RHIT, RHIA or CPHQ 

Service Region/ Location:

This role is located in our Chico office. This is not a remote role and you are required to work in our office.

Schedule:

Monday through Friday from 8am until 5pm, with 1 hour for lunch. No weekend hours.

Travel:

No travel required, except for the possibility of training in another location.

Physical Requirements:

Conditional upon job offer is successfully passing a medical exam that tests amongst other things the ability to move, visual acuity, and hearing acuity. Physical requirement for this role specifically include

• Sits, stands, bends, lifts, walks, and moves intermittently during working hours
• Able to lift to 35 pounds without assistance

Compensation:

Salary is $72,800 to $80,600 per annum. Exact compensation may vary based on skills and experience.

Benefits

After 60 days of employment you will be eligible for health insurance, dental insurance, vision insurance, life insurance, as well as Flexible Spending Account (FSA).

Leave accrues starting on your first day of employment, and you can take paid vacation, sick and holiday leave after 90 days.

We offer a 401(k) matching up to 4% after 1 year of employment and 1,000 hours worked.

This is an exempt role.

Apply

If you have an interest in joining our amazing team, we would like to hear from you!

Click here to apply online.

You can also download the application packet located at www.homeandhealthcaremgmt.com and fax completed applications to 530-487-8585 or mail to us at 1398 Ridgewood Dr., Chico, CA 95973, Attention: HR Department.