Analyze clinical and operational data to identify trends and drive quality improvements.
Develop and monitor corrective action plans and quality initiatives.
Collaborate with leadership to ensure compliance and enhance care delivery outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. We leverage our global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Manage and support a team of RN quality reviewers, providing day-to-day people management, performance feedback, and coaching.
Identify and report on clinical quality trends by analyzing chart audit findings and quality data to inform improvement priorities.
Collect, organize, and maintain quality audit data, ensuring accurate records and dashboards for real-time visibility into team performance.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to deliver better outcomes and lower costs for cancer patients. As a tech-native organization with a focus on human connection, they employ a team of dedicated professionals committed to reimagining cancer care.
Serve as the main point of contact for a portfolio of customers, ensuring successful platform utilization to achieve their business goals.
Provide clinical guidance and workflow expertise to support organizational change management and user adoption initiatives.
Build strong relationships with clinical stakeholders and facilitate ongoing customer discussions to evaluate adoption and improvement opportunities.
We create software solutions combining lean principles, predictive analytics, and machine learning to transform hospital and infusion center operations. More than 190 health systems and over 1,200 hospitals rely on our award-winning products, and we have raised over $300 million from top-tier investors.
Serves as primary contact for national and state cardiac/vascular registry data management.
Reviews medical records to identify patient care and quality issues, analyzing trends to improve outcomes.
Develops quality improvement initiatives and presents findings to departmental committees.
The University of Rochester is a leading research university in western New York. It employs thousands in higher education and health care, fostering a culture of inclusion and excellence.
Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.
Lead day-to-day execution of clinical quality programs and manage Quality Improvement Specialists.
Oversee care gap closure, HEDIS, Medicare Stars, CKCC performance, and NCQA accreditation compliance.
Partner cross-functionally with Clinical Ops, Analytics, and Market Ops to drive quality initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. We are a growing company committed to improving patient outcomes and quality of life, fostering a culture of innovation and compassion.
Serve as a clinical subject matter expert supporting product and AI teams to evaluate new features for clinical safety and risk.
Conduct first-line clinical risk assessments across high-impact areas like documentation workflows and medication management.
Partner cross-functionally with product, engineering, regulatory, and clinical teams to guide safe innovation throughout the product lifecycle.
Our partner operates in healthcare technology, and we use an AI-powered matching process to connect candidates with roles. The environment is mission-driven and highly collaborative, focusing on improving outcomes across long-term and post-acute care settings.
Support quality, safety, and compliance by identifying documentation and workflow improvements.
Process physician orders within the EMR and ensure verbal orders meet documentation requirements.
Manage end-of-episode documentation, including discharge reports and OASIS visits.
Adaptive Home Health is an AI-native physical care platform transforming US healthcare, starting with home health. The company combines a world-class AI team with healthcare veterans to build a new type of healthcare company that delivers care at the speed of an AI company.
Oversee daily operations of the Patient Care Coordination team through direct management of the PCC Lead, ensuring clear priorities and accountability.
Drive regional KPIs for the PCC function and implement corrective action when targets are missed.
Continuously evaluate workflows to identify bottlenecks and roll out process improvements in partnership with clinical and product teams.
Form Health is a virtual obesity medicine clinic delivering physician-led, evidence-based care for obesity and related cardiometabolic conditions. Founded in 2019, Form Health is a venture-backed, mission-driven company partnering with leading employers and health plans to expand access to high-quality care nationwide.
Oversee and manage the CareConnect Clinical Triage and Treat team, ensuring timely, high-quality remote patient care 7 days a week.
Analyze operational data, lead performance improvement initiatives, and communicate staffing and operational needs to Market Leadership.
Provide backup clinical coverage and support recruitment, onboarding, training, and professional development of team members.
WellBe provides comprehensive healthcare services focused on helping patients lead healthier, more meaningful lives. They are a value-based care organization with a patient-first approach, operating across multiple states with a culture centered on teamwork and clinical excellence.
Lead and manage a team to ensure performance integrity, quality governance, and continuous process improvement.
Drive root cause analysis and corrective actions for major incidents and escalations.
Manage client and vendor relationships, ensuring SLA compliance and operational continuity.
HealthEdge is a healthcare technology company that provides software solutions for health insurance and benefits administration. It is an equal opportunity employer committed to workforce diversity.
Lead end-to-end screening processes for a global pivotal trial, ensuring accurate and timely completion of pre-procedure assessments.
Collaborate with cardiologists, study coordinators, and field teams to evaluate patient eligibility and drive screening performance.
Ensure compliance with GCP, FDA, and trial protocols while managing screening data and identifying trends.
Anteris Technologies is a global structural heart company committed to revolutionizing cardiac care by pioneering biomimetic TAVR technology. With offices in the US, Switzerland, and Australia, we have a growing, inclusive team and a mission-driven culture focused on restoring healthy heart function for patients.
Must have at least 5 years' RN experience with current licensure, a bachelor's degree or equivalent, and at least 1 year of leadership with direct reports.
Responsible for overseeing RN denials management specialists, pre-bill utilization reviews, payer calls, workflow optimization, and collaboration with internal RCM teams.
Blends clinical expertise with revenue cycle management to protect the organization's bottom line, decrease A/R, and ensure compliance.
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services, primary care, research, and physician practices across multiple states. With 31 facilities and a focus on innovation, they recently earned Great Place To Work certification, reflecting their investment in employee happiness and fulfillment.
Oversee operational excellence across Integrated Care services, leading a team of 10-12 direct reports.
Manage special projects and strategic initiatives from planning through execution.
Drive process optimization and continuous improvement to enhance efficiency and service quality.
The company provides integrated care services with a focus on behavioral health and human services. It is a large organization that fosters a mission-driven culture and values employee engagement.
Supports quality improvement infrastructure across PACE centers, maintaining data systems and regulatory reporting.
Tracks participant safety events, ED and inpatient admissions, and facilitates Quality Improvement Committee operations.
Executes internal quality audits and prepares data summaries to drive measurable improvement.
Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and daily support. Supported by leading healthcare investors, we are entering a period of significant growth and seek exceptional teammates.
Provide clinical and operational leadership to support timely, evidence-based coverage determinations in Utilization Management.
Coach reviewers on consistent application of medical-necessity criteria, medical policy, and benefit plan language.
Monitor daily workflow health, coordinate coverage plans, and communicate barriers and risks to the UM Manager.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Provides visionary leadership and strategic direction for care coordination and service delivery teams.
Drives transformational initiatives to scale operations, enhance quality, and improve patient outcomes.
Uses data analytics and key performance indicators to monitor program effectiveness and guide evidence-based decision-making.
WellSky is a technology company that provides software, analytics, and services for intelligent, coordinated care across health and community care. The company fosters a culture of independent thinking, collaboration, and innovation, with a focus on improving outcomes and lowering costs.
Lead and inspire a remote team of Nurse Practitioners across multiple states, ensuring high-quality patient care and compliance.
Oversee provider performance, documentation quality, and risk adjustment accuracy while fostering a supportive team culture.
Guide training, coaching, and development, collaborating cross-functionally to refine workflows and drive operational success.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes for blood draws, diagnostics, and wellness visits. The company has a rapidly growing team of visionary leaders passionate about increasing access to care and lowering healthcare costs.
Lead clinical quality strategy and client audit readiness for high-stakes client and consultant engagements.
Build longitudinal quality assurance systems to monitor member journeys and ensure service reliability.
Drive AI-enabled quality surveillance and pattern detection to scale quality operations.
Included Health is a healthcare company that delivers integrated virtual care and navigation, breaking down barriers to provide high-quality care for every person. The company is remote-first and offers a comprehensive benefits package, aiming to raise the standard of healthcare for everyone.