Define and maintain clinical standards for home visits, including medication administration, infusion practices, and patient assessment.
Investigate adverse events and near misses, conduct root cause analyses, and implement corrective actions.
Collaborate cross-functionally to integrate clinical quality into product development, analytics, and compliance.
They provide home-based specialty pharmacy and infusion care services. They are a rapidly scaling healthcare technology company focused on quality, patient safety, and cross-functional collaboration.
Performing timely utilization review of healthcare services using approved medical necessity criteria.
Collaborating with medical directors, providers, and internal teams for compliant review processes.
Ensuring accurate documentation and communication of determinations within regulatory timeframes.
Guidehealth is a data-powered, performance-driven healthcare company focused on making healthcare affordable and improving patient health. It is a physician-led organization using AI and predictive analytics, with a culture of accountability, growth, innovation, and empathy.
Leverage your experience as a Practice Manager or Clinic Nurse to assist physician offices in improving quality initiatives.
Implement clinical quality improvement activities and generate reports from electronic health records to identify care gaps.
Provide process improvement interventions and educational support to close gaps in day-to-day workflows.
Health Services Advisory Group (HSAG) transforms healthcare delivery in the United States through quality improvement initiatives. As a growing team, they focus on improving the quality of healthcare for communities across multiple states and territories.
Oversee all nursing activities for clinical research studies in the Southeast region, ensuring compliance with regulations and protocols.
Manage per diem mobile research nurses, including training, documentation, and quality control of data collection.
Serve as the nursing subject matter expert for assigned studies, collaborating cross-functionally to support study execution.
Science 37 accelerates clinical research by enabling universal trial access for patients through Direct-to-Patient Site and Patient Recruitment solutions, powered by a proprietary technology stack. The company employs in-house medical and operational experts to enhance quality and streamline study orchestration, fostering a culture of innovation and teamwork.
Review OASIS documentation and plan of care to ensure compliance with regulations and accuracy.
Evaluate patient visit frequency and utilization to align with clinical needs and provider orders.
Collaborate with coding partners and escalate documentation improvement opportunities to leadership.
Graham Healthcare Group designs business and technology solutions to drive better care and outcomes in home health and hospice. As a subsidiary of a publicly traded company, they've been improving care coordination for over 20 years, focusing on patient-centered home care.
Lead and support a remote clinical support team to ensure exceptional patient service and operational excellence.
Coach and mentor team members while overseeing performance, quality audits, and provider workflows.
Drive continuous improvement initiatives and maintain adherence to clinical and quality standards.
Ways2Well is redefining healthcare through regenerative and preventive medicine, offering data-driven personalized care. They operate as a remote clinical support team with a focus on high-impact healthcare and patient empowerment.
Oversee the Complex Clinical Bill Review team, managing production expectations, SLAs, client communication, and team performance.
Analyze and track internal business requirements, continuously evaluate functionality across programs, and perform requirements gathering to solve process issues.
Monitor team performance metrics, identify growth opportunities, and coordinate system enhancements including JIRA and UAT testing.
Machinify is a leading healthcare intelligence company providing an AI-powered platform for health plan clients. They are deployed by over 85 health plans, representing more than 270 million lives, with a culture of innovation and efficiency.
Accurately abstracts and cleans clinical data for CMS and national registries.
Provides feedback on measures and comparative data to physicians and management.
Participates in multidisciplinary teams to identify improvement opportunities in documentation and practice patterns.
UnityPoint Health is a healthcare system focused on providing quality care and fostering a culture of belonging. Recognized as a Top 150 Place to Work in Healthcare, they offer competitive benefits and support for team members.
Manage day-to-day operations for the outpatient clinical documentation improvement program across multiple facilities.
Liaise with physicians and leadership on coding rules, risk adjustment, and reimbursement guidelines.
Ensure compliant and accurate medical record documentation while facilitating standardization.
Henry Ford Health is an academic health system providing comprehensive care across Michigan. With 12 hospitals and hundreds of clinics, it is a large organization focused on collaboration and innovation.
Lead the application of the Clinical Quality Management Regime across Delivery Partners, ensuring compliance with contractual quality standards.
Use quality intelligence and performance data to assess effectiveness of controls and identify emerging risks.
Provide hands-on clinical quality expertise to diagnose performance issues and support corrective actions.
Ingeus is a leading human services provider that helps people, businesses, and communities thrive through employment, skills, and health & wellbeing services. It is a trusted partner to government and industry, committed to creating positive social impact, and fosters an inclusive culture treating everyone with dignity.
Lead clinical excellence managers in their region through account management and customer success.
Partner with customers to ensure highest standards of patient care and drive long-range sales plan.
Collaborate with cross-functional teams to align clinical strategies with company objectives.
Outset Medical is a trailblazing medical device company that is revolutionizing dialysis by pioneering groundbreaking technology. They focus on creating a high-performing team obsessed with progress in an atmosphere of transformative opportunities.
Support clinical process improvement initiatives and monitor performance to client SLAs.
Conduct root cause analyses and develop remediation plans for process variations.
Collaborate with product and analytics teams to optimize letters and template tracking.
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans and providers to optimize care quality and reduce costs. The company has been named to the Inc. 5000 list and ranked a Top 5 LinkedIn Startup, backed by leading investors, with a culture that values empathy and collaboration.
Provides comprehensive remote patient support and care coordination to optimize health outcomes in a virtual environment.
Collaborates with physicians and healthcare team members to assess patient status and develop personalized care plans.
Monitors patient progress, educates on disease processes, and advocates for patient needs to ensure high-quality care.
St. Joseph's Hospital and Medical Center is a 571-bed not-for-profit hospital in Phoenix, Arizona, offering quaternary care, medical education, and research. It is a nationally recognized center with over 125 years of history, consistently named an outstanding place to work.
Own daily outreach and enrollment performance, including call volume, reach rate, and enrollment numbers.
Lead and develop the enrollment team through direct supervision, coaching, and performance management.
Drive quality, compliance, and scalability of enrollment processes and documentation.
Vynca is a healthcare company focused on transforming care for individuals with complex needs, providing comprehensive care for more quality days at home. The company fosters a close-knit community culture guided by values of Excellence, Compassion, Curiosity, and Integrity.
Provide clinical education, focused interventions, and care transition support for members with low-acuity needs.
Conduct in-person and virtual clinical exams, medication reconciliation, and chart reviews.
Triage referrals and collaborate with care team to ensure timely follow-up and handoffs.
Cityblock Health is a tech-driven provider for communities with complex needs, offering personalized primary care, behavioral health, and social services. Founded in 2017 and backed by Alphabet, the company has a diverse, inclusive culture and is growing rapidly.
Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.
They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.
Manage and coordinate a formal quality improvement program across a large network of crisis centers to achieve quality improvement goals.
Oversee internal QI activities, ensure adherence to funder and agency goals, and prepare reports for external stakeholders.
Collaborate with other departments to develop proactive QI activities and monitor performance to ensure compliance with operational and clinical KPIs.
Vibrant Emotional Health provides high-quality services and support for emotional wellness through technology-enabled services, community programs, and advocacy. For over 50 years, they have been at the forefront of promoting emotional well-being, with a focus on saving lives and supporting everyone in need.
Drive the master project work plan for TJC Behavioral Health accreditation readiness, establishing clear milestones across clinical and operational teams.
Conduct gap analyses and risk mitigation, proactively updating the roadmap and implementing strategies to address compliance risks.
Organize internal mock audits and readiness drills, ensuring operational teams are fully prepared for survey execution.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of care and fosters a culture of innovation and impact.
Lead daily workflow of a remote team of up to 20 RNs, ensuring productivity and operational metrics are met.
Audit RN performance and clinical documentation to ensure compliance with APCM protocols.
Coach RNs through structured feedback and manage performance improvement plans.
Cadence is a clinical AI company that automates chronic disease treatment. It partners with over 20 health systems, serves 100,000+ patients, and was named a Top HealthTech Company by TIME and a Top Startup by LinkedIn.