Quality Assurance Specialist - (NC - IDD Group Home)

Position Summary The Quality Assurance (QA) Specialist ensures compliance with North Carolina DHHS regulations, Medicaid requirements, and best practices for residential services supporting individuals with intellectual and developmental disabilities (IDD). This role monitors service delivery, improves quality outcomes, and ensures health, safety, and rights of residents.

Key Responsibilities Compliance & Auditing:

Conduct internal audits of group home operations, including documentation, medication administration, and service delivery. Ensure compliance with NC DHHS rules (10A

NCAC 27G

) and The Council on Quality Leadership (CQL). Prepare for external inspections and licensing reviews.

Quality Improvement:

Develop and track quality metrics (incident trends, medication errors, grievances). Lead performance improvement initiatives. Analize data and recommend corrective actions.

Documentation Review:

Audit Person Centered Plans (PCP), service notes, and incident reports. Ensure documentation meets regulatory and payer standards.

Incident & Risk Management:

Review incident reports for accuracy and timeliness. Ensure follow-up actions and reporting requirements are met. Identify patterns and implement prevention strategies.

Staff Training & Support:

Provide training on documentation standards, compliance requirements, and QA processes. Coach supervisors and direct care staff on best practices.

Collaboration:

Work with Program Director, QP (Qualified Professional), and direct care staff. Communicate with LME/MCOs (Local Management Entities/Managed Care Organizations).

Qualifications Required:

Bachelor's degree in Human Services, Healthcare Administration, or related field. 2+ years experience in IDD services or behavioral health. Knowledge of North Carolina regulations (10A

NCAC 27G

). Experience with Medicaid services in a residential setting.

Preferred:

Experience working with LME/MCOs (Local Management Entities/Managed Care Organizations). CARF or CQL accreditation experience.

Skills:

Strong analytical and auditing skills. Detail-oriented with excellent organizational skills. Knowledge of incident reporting systems. Strong communication, and training abilities.

Working Conditions:

Travel between residential homes in Wake County•Mileage is reimbursed. Combination of fieldwork and administrative duties. Office in Raleigh, NC•Hybrid position.

Pay:

$22.00•$25.00 per hour

Benefits:

Flexible schedule

Work Location:

In person