Quality Specialist-Hybrid

Partners in Care Foundation In•San Fernando, CA

2d•$28 - $32•Hybrid

About The Position

The Quality Specialist will support the implementation of a comprehensive quality assurance strategy aligned with state, health plan, and internal standards. This role involves conducting case reviews and audits, identifying trends and opportunities for improvement, and contributing to quality improvement initiatives. The specialist will also maintain accurate records, prepare reports, and ensure data is entered into internal systems. This is a hybrid position.

Requirements

Bachelor’s degree required in a health-related field-social work, psychology, sociology, public health, or gerontology.
Experience in healthcare quality, compliance, care management, person-centered care services, and/or social service program oversight.
Understanding of documentation standards, case review methodologies, and quality monitoring practices.
Ability to conduct audits using internal tools and external audit instruments (e.g., health plan and state tools), analyze findings, and communicate results.
Ability to identify service quality gaps and support development of corrective actions and quality improvement interventions.
Strong written and verbal communication skills, including the ability to provide professional, constructive feedback.
Sound judgment in reviewing clinical and non-clinical issues and escalating concerns appropriately.
Strong organizational skills and ability to maintain accurate records, track follow-up actions, and meet deadlines.
Cultural competence and ability to communicate effectively with individuals from diverse backgrounds.

Responsibilities

Support implementation of a comprehensive quality assurance strategy aligned with state, health plan, and internal standards.
Conduct case reviews and audits using internal quality tools and state/health plan-provided audit tools to evaluate service quality, documentation, and compliance.
Identify trends, recurring gaps, and opportunities for improvement, and communicate findings to leadership and program teams.
Support monitoring of high-risk or priority quality concerns and escalate issues in accordance with internal procedures.
Contribute to development and refinement of quality monitoring tools, dashboards, and reporting processes.
Support audit readiness and compliance activities, including file review, standards interpretation, and policy/procedure development or revision.
Serve as a subject matter resource on program quality and compliance standards, including state, health plan, and internal policy requirements.
Assist with implementation and reinforcement of policies, procedures, and documentation standards across teams.
Provide audit feedback and compliance guidance to staff and supervisors to promote consistent adherence to requirements.
Participate in interdisciplinary meetings and quality-related workgroups as assigned.
Assist in development and implementation of quality improvement interventions to address identified gaps in service quality and compliance.
Track audit findings and performance trends to support targeted improvement efforts and follow-up monitoring.
Support corrective action planning and progress tracking related to audit findings and quality concerns.
Monitor key quality indicators and assist in reporting progress on quality improvement activities.
Maintain accurate records of audit activities, findings, corrective actions, and quality improvement follow-up.
Prepare routine and ad hoc reports summarizing audit outcomes, trends, and improvement activities for leadership and stakeholders.
Enter and maintain quality review data in internal databases, dashboards, and electronic systems.
Support ongoing improvement of audit tools, tracking systems, and reporting processes.