QA Supervisor (Field Case Management) in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a QA Supervisor (Field Case Management) based in United States.

This is a hands-on quality assurance leadership role supporting field case management operations within a workers’ compensation environment.
You will oversee case file quality, documentation accuracy, billing compliance, and adherence to customer-specific standards.
The role combines detailed file reviews with supervisory staffing, coaching, and performance feedback for case managers.
You will identify risks, gaps, and improvement opportunities while helping teams maintain high standards of service and documentation.
Working closely with quality leadership and case managers, you will contribute to quality reporting and broader process improvements.
The position is well suited to an experienced clinical or vocational professional who enjoys mentoring others and improving operational quality.
It offers the opportunity to make a measurable impact on case outcomes, compliance, customer satisfaction, and team performance.

• Review case files, reports, and billing documentation against customer-specific quality standards, program requirements, and special handling instructions.
• Maintain a strong working knowledge of customer account requirements and apply them consistently across assigned quality reviews.
• Verify billing accuracy and identify discrepancies, documentation gaps, or areas where case management services do not meet established expectations.
• Conduct regular supervisory staffing reviews to evaluate case status, quality, completeness, accuracy, and overall file integrity.
• Identify stalled, high-risk, at-risk, or non-compliant cases and communicate findings clearly to case managers and quality leadership.
• Provide specific, constructive, and development-focused feedback to help case managers strengthen documentation, service delivery, and case management practices.
• Support case managers in developing approaches that maintain file quality, compliance, and momentum.
• Escalate complex, high-risk, or significantly non-compliant cases to the appropriate quality leadership.
• Accurately document staffing notes, quality findings, improvement opportunities, follow-up actions, and review outcomes.
• Complete quality review documentation and reporting accurately and within established timelines.
• Maintain organized records of quality activities, feedback, and follow-up outcomes.
• Contribute to quality trend reporting by identifying recurring patterns and communicating insights that can support team-wide coaching and process improvements.

• Active Registered Nurse (RN) or Vocational Rehabilitation Specialist (VRC/CDMS) licensure is required, with licensure maintained in good standing throughout employment.
• 3+ years of field case management experience within a workers’ compensation environment.
• Prior supervisory, lead, mentoring, or coaching experience is strongly preferred.
• Experience conducting case reviews, file staffing, quality audits, compliance reviews, or working with customer-specific program standards is advantageous.
• Additional certifications such as CCM, CMC, CRRN, or CDMS are a plus.
• Strong attention to detail and a consistent quality-focused mindset.
• Excellent written and verbal communication skills, with the ability to provide clear and professional feedback.
• Ability to coach and challenge case managers constructively while maintaining positive, trusting working relationships.
• Strong organization and time-management skills, with the ability to manage multiple priorities and competing demands.
• Dependable, accountable, collaborative, and committed to continuous improvement.
• Ability to follow established procedures, interpret customer-specific standards, and escalate issues appropriately.
• Proficiency with case management systems and documentation platforms used in field case management operations.
• Comfortable using AI-enabled tools and emerging technologies to improve workflow efficiency, streamline documentation, and support quality review activities.
• Proficiency with Microsoft Office tools, including Word, Excel, and Outlook, or comparable productivity platforms.

• Competitive base salary of $81,500–$95,000 annually, depending on geographic market, skills, experience, education, and other relevant factors.
• Medical, dental, and vision insurance.
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).
• Life and AD&D insurance.
• 401(k) retirement plan.
• Tuition reimbursement.
• Additional wellness and resources designed to support long-term health and well-being.
• Benefits eligibility may vary depending on full-time or part-time status.
• Opportunity to contribute to quality improvement and professional development within a collaborative case management environment.