[Remote] Clinical Quality Assurance Specialist

Note: The job is a remote job and is open to candidates in USA. Humana, a leading U.S. healthcare company, is seeking a Clinical Quality Assurance Specialist to enhance patient care and ensure regulatory compliance. The role involves collaborating with clinical teams, providing education, conducting audits, and supporting quality improvement initiatives.ResponsibilitiesCollaborate with branch leadership to develop and implement quality assurance and performance improvement strategiesProvide education and coaching to field clinicians and case managers, including instructor-led sessionsSupport branches in regulatory compliance, survey readiness, and quality improvement plansHelp with new hire onboarding and training focused on clinical documentation, OASIS, and regulatory requirementsConduct chart audits and data analysis, delivering applicable feedback to improve clinical quality and complianceMonitor and support quality investigations and compliance processesPartner with leadership to identify trends, gaps, and opportunities for improvementContribute to special projects and organizational plans as assignedSkillsCurrent state license as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech TherapistHome health experienceProficiency in OASIS, CMS regulations, and clinical documentation standards2+ years of training and learning development experienceUnderstanding of curriculum design and adult learning principlesExperience using several training tools to facilitate to a wide audienceCOS-C certificationExperienced with Wellsky/Kinnser or comparable healthcare EMR platformsBilingual (English and Spanish speaker)BenefitsBonus incentive planMedical, dental and vision benefits401(k) retirement savings planTime off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)Short-term and long-term disabilityLife insuranceCompany OverviewHumana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.Company H1B SponsorshipHumana has a track record of offering H1B sponsorships, with 91 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.