QUALITY ASSURANCE SPECIALIST 4 jobs in United States
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NEOGOV · 13 hours ago

QUALITY ASSURANCE SPECIALIST 4

NEOGOV is a state agency in Nevada seeking a Quality Assurance Specialist 4. The role involves designing and implementing quality assurance programs for various health care services, ensuring compliance with regulations, and providing training and technical guidance to staff.

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H1B Sponsor Likelynote

Responsibilities

Review and evaluate appropriateness of client services including access, outcomes and prevention; conduct case reviews including customer interviews and surveys, medical/clinical and case records, facility inspections, and agency/facility policies and procedures; assist in identification of problem areas; monitor high risk/impact areas and processes vulnerable to litigation, adverse publicity, or involvement of law enforcement
Evaluate compliance with applicable accreditation, licensing, health and safety, and funding requirements; develop recommendations for corrective actions including serving on committees, providing written reports and summaries, and presenting findings to administrators and department staff; review citations and plans of correction from federal, State, and accreditation reviews; participate in developing corrections and monitor corrections for compliance
Provide technical guidance to agency staff and/or contractors regarding quality assurance/improvement activities and requirements; ensure agency/facility staff, contractors and administration are aware of accreditation, licensing, funding, and human rights requirements; provide training to staff, providers, and outside agencies regarding federal and State regulations, program requirements, policies and procedures, accreditation standards, client rights, consent and confidentiality issues, due process, documentation and communication related topics, and other areas as required
Review reports of incident, abuse and neglect, rights violations, sentinel events, serious incident, treatment appeals and complaints; ensure applicable regulations and reporting requirements are followed; conduct investigations and contact outside enforcement agencies as appropriate; ensure client confidentiality and privacy as well as the security of documents, reports, and findings
Coordinate agency efforts to achieve and maintain accreditation; develop quality assurance/improvement criteria and methodology; coordinate self-assessments using accreditation standards; research, develop and collate data for pre-survey information packets; coordinate, write, and organize information incorporated into official corrective action plans submitted by the agency in response to survey or statements of deficiencies and findings
Prepare narrative and statistical reports; participate in budget preparation; monitor and control expenditure of funds for staffing, equipment, supplies and other areas as required
Perform related duties as assigned
Under general direction, the Quality Assurance IV is assigned to plan, organize and conduct quality assurance and utilization reviews of medical, dental, psychological, pharmacy, and other therapeutic services provided by the Department of Corrections’ eight correctional institutions, thirteen honor camps, and two restitution centers. In addition, this position oversees and monitors inmate health care services provided by physicians, laboratories, hospitals, and other providers located in the community

Qualification

Quality assuranceUtilization reviewProgram evaluationNursing processAccreditation standardsCompliance activitiesSupervisionTrainingCommunicationProblem-solving

Required

Bachelor's degree from an accredited college or university in nursing or related field and four years of professional experience in an institutional setting reviewing and evaluating health care, mental health care, or disability services including performing program evaluation, quality assurance/improvement, and/or utilization review activities
An equivalent combination of experience and education, above the Bachelor's degree level, as described above

Benefits

Health Insurance: Medical, dental, life, and disability insurance programs for employees and their dependents/family are offered through the Public Employees’ Benefits Program (PEBP).
Vacation: Accrual of three weeks of annual leave each year.
Sick Leave: Accrual of three weeks of sick leave each year.
Holidays: 12 paid holidays per year.
Retirement: Participation in the Nevada Public Employees Retirement System (PERS). Employees do not contribute to Social Security but will contribute to PERS if their position is at 50% or more full-time equivalency. For more information on how PERS service may impact Social Security benefits, visit the SSA publication.
Deferred Compensation: The State offers a voluntary Deferred Compensation Program.
No Nevada state income tax.
Public Service Loan Forgiveness: Eligible due to public sector employment.
Longevity Payments Eligibility: Employees who have received a performance rating of 'standard' or better and have completed eight (8) or more years of continuous service are eligible for longevity pay.

Company

NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.

H1B Sponsorship

NEOGOV has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)

Funding

Current Stage
Late Stage
Total Funding
$700M
Key Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity

Leadership Team

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Shane Evangelist
CEO
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Brandon McDonald
Head Of Marketing
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Company data provided by crunchbase