Clinical Quality Assurance Specialist

Clinical Quality Assurance Specialist Become a part of our caring community. The Clinical Quality Assurance Specialist partners closely with clinical teams and branch leadership to drive excellence in patient care, regulatory compliance, and performance improvement. You will serve as a subject matter expert, providing guidance, education, and data‑driven insights to ensure high‑quality clinical outcomes and adherence to industry standards. Assignments are varied and require independent judgment, critical thinking, and proactive decision‑making. You will report to the Quality Assurance Director. Use your skills to make an impact. Responsibilities Collaborate with branch leadership to develop and implement quality assurance and performance improvement strategies. Provide education and coaching to field clinicians and case managers, including instructor‑led sessions. Support branches in regulatory compliance, survey readiness, and quality improvement plans. Help with new hire onboarding and training focused on clinical documentation, OASIS, and regulatory requirements. Conduct chart audits and data analysis, delivering applicable feedback to improve clinical quality and compliance. Monitor and support quality investigations and compliance processes. Partner with leadership to identify trends, gaps, and opportunities for improvement. Contribute to special projects and organizational plans as assigned. Required Qualifications Current state license as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist. Home health experience. Proficiency in OASIS, CMS regulations, and clinical documentation standards. 2+ years of training and learning development experience. Understanding of curriculum design and adult learning principles. Experience using several training tools to facilitate a wide audience. Preferred Qualifications COS‑C certification. Experience with Wellsky, Kinnser, or comparable healthcare EMR platforms. Bilingual in English and Spanish. Pay Range $71,100 – $97,800 per year. This job is eligible for a bonus incentive plan. The incentive opportunity is based upon company and/or individual performance. Location and Hours Normal hours: Monday – Friday, 8:00a.m. – 5:00p.m. (ET). Remote (may be required to travel to branch as needed). Branch location: 3351 Executive Way, Miramar, FL 33025. Although this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Benefits Humana offers medical, dental, and vision benefits, a 401(k) retirement savings plan, paid time off—including holidays, volunteer time off, paid parental and caregiver leave—short‑term and long‑term disability, life insurance, and many other opportunities. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. #J-18808-Ljbffr Humana Inc