AlphaCare Home Health Corp. · 16 hours ago
Clinical Coordinator and Quality Assurance Specialist (RN)
San Francisco Bay Area
Part-time
Onsite
Mid, Senior Level
$50/hr - $70/hr
3+ years expAlphaCare Home Health Corp. is seeking a Clinical Coordinator and Quality Assurance Specialist (RN/LVN) to enhance the quality of care and support staff development across their home health operations. The role involves utilizing clinical expertise and data-driven reviews to ensure compliance and optimize patient outcomes through collaboration with various teams.
Health CareHospitalMedical
Responsibilities
Participate in internal audits and clinical documentation reviews to uphold agency and regulatory standards
Coordinate with QA and Operations teams to maintain readiness for audits and surveys
Support process improvement initiatives focused on safety, quality, and efficiency
Participate in quarterly QAPI meetings and initiatives to incorporate clinical record reviews, trends & surveys
Identify areas for improvement and implement PIPS
Review patient visit utilization to confirm alignment with care plans, clinical needs, and agency guidelines
Identify patterns of over- or under-utilization and provide recommendations for improvement
Partner with clinicians and schedulers to ensure visits are optimized for both patient outcomes and payer compliance
Reinforce accurate, defensible clinical documentation that supports care justification and reimbursement integrity
Work closely with managers, QA, and administrative staff to coordinate quality and performance activities
Track and evaluate hospital readmission data to detect trends and gaps in continuity of care
Conduct detailed case analyses for high-risk patients and collaborate with the care team on preventive strategies
Verify that follow-up documentation and communication post-readmission are completed promptly and thoroughly
Contribute to the development of action plans aimed at improving patient outcomes and reducing avoidable readmissions
Provide real-time clinical guidance and case consultation to field staff for complex or high-acuity patients
Assist with care coordination and problem-solving for clinical escalations, including symptom management and urgent care needs
Participate in case conferences, team meetings, and interdisciplinary reviews to offer clinical insight and promote evidence-based practice
Serve as a liaison between field clinicians, physicians, and leadership to ensure clinical excellence and patient safety
Conduct home visits as needed to assess patient status, validate care needs, or support staff with complex cases
Deliver individualized and group training on documentation, visit management, and clinical best practices
Conduct joint field visits to orient and mentor new clinicians and reinforce compliance expectations
Offer constructive coaching to improve performance and maintain quality benchmarks
Perform other related and assigned duties
Qualification
Required
Active Registered Nurse (RN) license in California (required)
3–5 years of clinical experience in home health, quality review, or care management
Excellent communication, analytical, and teaching skills
Proficient in EMR systems and data reporting tools
Strong ability to coach and mentor clinicians while supporting operational excellence
Preferred
Experience in utilization review, quality assurance, or regulatory compliance strongly preferred
Benefits
Medical, Dental, Vision, and Life Insurance
401(k) with 5% Employer Match
Free Onsite Parking
Company
AlphaCare Home Health Corp.
At AlphaCare Home Health, we deliver personalized in-home care tailored to each patient's unique needs and goals.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Victor Wong
CEO | Founder
Company data provided by crunchbase