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Community Supports Quality Assurance Associate

3 months ago

Fountain Valley, United States Titanium Healthcare Full time
Job DescriptionJob DescriptionSalary: $24-$30

Who We Are:

We are a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

 

Join us in our mission


Job Summary: The Community Supports Quality Assurance Associate will play a pivotal role in ensuring the effectiveness and quality of the Community Supports (CS) program at Titanium Healthcare. This program provides housing and social services support to Medi-Cal members, addressing both immediate and underlying health-related social problems. The Quality Assurance Associate will monitor and evaluate service delivery, ensure compliance with program standards, and support continuous improvement efforts.


Essential Functions:

Quality Monitoring and Evaluation

  • Conduct regular reviews of member records to ensure adherence to program standards and protocols.
  • Perform audits to ensure accuracy, timeliness and completeness of documentation and follow-up.
  • Evaluate effectiveness of CS services and make recommendations.


Compliance

  • Ensure compliance with all legal and health plan regulations related to the CS program.
  • Maintain up-to-date knowledge of program requirements and best practices.
  • Attend Provider meetings to maintain knowledge on program updates and standards
  • Assist in preparing for and responding to internal and external audits.


Data Analysis and Reporting

  • Partner with CS managers and data team to collect, analyze, and report on program performance data.
  • Collaborate in identifying trends, areas for improvement, and best practices.


Training and Staff Support

  • Provide training and support to CS staff on quality assurance processes and procedures.
  • Assist in developing training materials and resources.
  • Support the development and implementation of quality improvement initiatives.


Qualifications:

  • Bachelor’s degree in Social Work, Public Health, Human Services, or a related field preferred.
  • 2 + years of experience in quality assurance, compliance, or a related field within human services or healthcare.
  • Familiar with various EHR platforms; eClinicalWorks experience a plus.
  • Data Analysis experience/knowledge in Microsoft 365.


Benefits:

  • Hybrid role - mixed remote and in-person
  • Medical, Dental and Vision Insurance 
  • We cover up to 100% of your premium and 50% of your dependent premium depending on the plan 
  • Flexible Spending Accounts, Health Savings Accounts & Dependent Care Accounts are also available 
  • Life, AD&D Insurance funded 100% by Titanium Healthcare 
  • 401(k) plan 
  • Employee Assistance Program 
  • 12 Paid Holidays, 3 weeks of all-inclusive PTO per year (accrual begins on the first day of employment) as well as a separate Paid Sick Time balance


Equal Employment Opportunity Commission:
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.  

 

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.