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  • Conduct proactive patient outreach initiatives to identify and address quality gaps.
  • Collect quality data using various methods of data sourcing-EMR, claims, provider outreach.
  • Communicate quality performances, barriers and improvement strategies both internally and with customers.

Excel PowerPoint Medical Terminology EMR

20 jobs similar to Clinical Quality Improvement Coordinator

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$55,000–$65,000/yr
US 2w PTO

  • Support the implementation, monitoring, and reporting of quality improvement activities for a national maternal mental health hotline.
  • Track program performance, maintain compliance documentation, and contribute to quality reports for federal stakeholders.
  • Assist in coordinating meetings, developing training materials, and building a culture of continuous quality improvement across a remote team.

Postpartum Support International works to promote awareness, prevention, and treatment of mental health issues related to childbearing. The organization is composed of dedicated and passionate individuals and operates a federally funded national hotline.

US

  • Works with field staff and Manager, Clinical Services (MCS) to appropriately schedule clinicians for cases in assigned areas of responsibility.
  • Communicates appropriately regarding changes in schedule or service delivery.
  • Demonstrates the ability to be efficient and productive by organizing job duties and responsibilities.

CommonSpirit Health at Home is a full-service health care organization that believes the best place for someone to get better is in their own home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and the health of the communities we serve.

US 4w PTO 12w maternity

  • Execute data analysis of trends and strategic opportunities for quality improvement across Affordability Initiatives portfolio.
  • Track project milestones, timelines, and deliverables from live and asynchronous engagements - ensuring alignment with initiative-specific program goals.
  • Maintain and provide consistent tracking of KPIs and other performance metrics to enable measurement of programs and project outcomes

Aledade empowers the most transformational part of our health care landscape - independent primary care. Since being founded in 2014, Aledade has become the largest network of independent primary care in the country, helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. They foster a collaborative, inclusive and remote-first culture.

$95,000–$110,000/yr
US

  • Management and oversight of a quality team conducting quality assurance activities.
  • Responsible for the successful execution of the Quality Improvement Program in accordance with CMS requirements.
  • Plans, organizes, and directs activities of Clinical Quality, including planning, training, and staff development.

HealthEdge is committed to workforce diversity and actively encourages all qualified persons to seek employment. They provide effective and efficient solutions to complex business problems.

US 4w PTO

  • Managing data workflows and analysis in support of the Quality team.
  • Collaborating on cross-functional projects to embed quality measures into standard operations.
  • Building high-impact quality analytics and supporting the design of patient outcome metrics.

Aledade, a public benefit corporation, empowers independent primary care, helping practices, health centers, and clinics deliver better care and thrive in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

US

  • Drive quality, safety, and compliance through systems by identifying issues and implementing process improvements.
  • Execute order management and EMR workflows by reviewing and approving new orders and supporting clinical escalations.
  • Manage end-of-episode processes, hospital holds, and monitor patient status and quality compliance through dashboards and alerts.

They are building an AI-native physical care platform to fix US healthcare, starting with home health. The company has assembled a team of AI experts from leading firms and paired them with healthcare veterans to operate at the speed of an AI company.

US

  • Audits clinical documentation and coding for inpatients, emphasizing mortality reviews to identify improvement opportunities and ensure compliance with guidelines.
  • Collaborates with clinical teams and medical staff as an expert educator to develop strategic plans and teaching tools that improve quality metrics and outcomes.
  • Manages advanced project work including Risk Adjustment and Quality Abstraction, while partnering with departments like IT and Analytics to design new workflow solutions.

Northwestern Medicine is a leader in the healthcare industry focused on a patient-first approach to cultivate a positive workplace. The organization provides competitive benefits like tuition reimbursement, loan forgiveness, and 401(k) matching to take care of its employees as part of a large health system.

$78,000–$83,000/yr
US

  • Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management Program.
  • Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
  • Managing case assignments which includes outreach, documentation, monitoring for case progression, and case closure.

Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine. Guidehealth is a growing and innovative organization and employees are expected to adapt to evolving business needs.

$155,000–$185,000/yr
US

  • Own clinical quality strategy for a rapidly scaling network spanning 20+ states, 400+ clinicians, and multiple care models.
  • Build clinical compliance policy infrastructure that anticipates growth rather than reacts to it.
  • Lead and develop a team that grows with the organization.

Cartwheel builds a new kind of mental health program for kids that puts schools at the center, supporting school staff. They are an early-stage company backed by top investors and looking for mission-driven teammates.

US

  • Communicate and provide education to members and providers on insurance plan benefits and digital health solutions.
  • Employ active listening & motivational interviewing skills, and can handle difficult calls tactfully, courteously, professionally and document accordingly that can build patient trust and engagement.
  • Accurately track and document work on a variety of internal software tools and platforms.

Evry Health is on a mission to bring humanity to health insurance. They are a high-technology health plan that expands benefits, increases access and transparency, and features a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.

US

  • Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
  • Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
  • Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.

They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.

US

  • Answer calls and resolve questions, routing to appropriate departments.
  • Complete documentation in EMR and marketing systems, including initial prescreening.
  • Schedule new and returning patients and complete follow-up duties.

Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.

$95,000–$105,000/yr
US Unlimited PTO

  • Supervise day-to-day operations of assigned Utilization Management staff.
  • Provide full people management for assigned Utilization Management teams, including hiring and performance management.
  • Drive team performance against key metrics, including engagement, productivity, and quality scores.

Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.

US 4w PTO 12w maternity

  • Manage complex provider roster creation, submission, and record reconciliation for multiple payers.
  • Oversee resolution of moderate-scope issues by prioritizing tasks and escalating issues with solutions.
  • Proactively identify areas for operational improvement and efficiency enhancement.

Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.

$150,000–$160,000/yr
US

  • Lead and inspire a team of Patient Support Specialists.
  • Establish and refine team KPIs related to outreach volume and scheduling conversions.
  • Partner with clinical, engagement, and product teams.

Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.

$23–$26/hr
US

  • Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
  • Manage high-complexity insurance workflows and inbound support requests to collect documentation.
  • Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.

Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.

$179,200–$280,000/yr
US

  • Lead Headway's clinical quality strategy, developing protocols and processes that uphold safety, efficiency, and effectiveness standards for the practice.
  • Build and scale our Professional Practice Evaluation programs, directly improving clinical outcomes across our provider network of NPs and MDs/DOs.
  • Conduct routine chart reviews and monitoring, providing feedback to clinicians and creating remediation plans for documentation concerns

Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. They are a Series D company with $325M+ in funding, looking for exceptional people to help them achieve their mission.

$92,070–$112,530/yr
US

  • Perform ongoing synthesis and analysis of health care quality metric performance and other key performance indicators.
  • Develop dashboards and visual assessments of health care quality metric performance and key performance indicators using claims, administrative, and/or program data.
  • Provide data and analysis to leaders to inform strategic recommendations on health care quality.

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. They include Columbia Pacific CCO, Jackson Care Connect, Housecall Providers and their work as part of Health Share of Oregon and they are committed to quality. CareOregon is an equal opportunity employer.

$83,600–$109,250/yr
US Unlimited PTO

  • Support Omada’s research program by coordinating day‑to‑day study operations for assigned protocols.
  • Contact study participants to facilitate timely, complete and accurate participation in study.
  • Maintain accurate study documentation and trackers so the team has a current view of study status.

Omada Health is reverse engineering the way healthcare is delivered in America, putting the space between doctor visits at the center of care. Omada has served more than two million members since launch across 2,000+ employers and strives to build an inclusive culture.

US

  • Provide exceptional care, disease management and health education to patients.
  • Support goal setting for individual patients asynchronously to help them better manage their chronic conditions.
  • Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors.

Salvo Health is a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. They bring multidisciplinary virtual care to patients at community specialty care practices. Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities.