Clinical Quality Assurance Specialist

Humana

Clinical Quality Assurance Specialist at Humana focusing on quality improvement strategies in clinical settings. Collaborating with teams for regulatory compliance and performance enhancement.

Posted 6/11/2026full-timeMiramar • Florida • 🇺🇸 United StatesJuniorMid-Level💰 $71,100 - $97,800 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

OASISclinical documentationdata analysischart auditsregulatory compliancequality improvementperformance improvementcurriculum designadult learning principlestraining development

Soft Skills

collaborationcoachingeducationcommunicationleadershipproblem-solvingtrend analysisfeedback deliveryorganizational skillsadaptability

Tools & Technologies

training toolsquality assurance systemscompliance monitoring systemssurvey readiness toolsdata management softwarelearning management systemsclinical quality improvement toolsauditing softwareperformance tracking systemsproject management tools

Certifications & Qualifications

Registered Nurse licensePhysical Therapist licenseOccupational Therapist licenseSpeech Therapist license

Industry Keywords

home healthCMS regulationsquality investigationsclinical qualitycase managementfield cliniciansperformance metricsregulatory requirementsspecial projectsonboarding

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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 to a wide audience.

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance