Source Job

US

  • Engage in fully remote patient outreach to identify and address quality gaps, educating patients on preventive care.
  • Collect quality data from EMR systems, claims, and provider outreach, managing multiple systems for daily work.
  • Prioritize tasks to meet quality reporting deadlines and communicate performance internally and with customers.

Quality Improvement EMR Systems Data Abstraction Patient Outreach Medicare Advantage

20 jobs similar to Clinical Quality Improvement Coordinator

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$80,000–$85,000/yr
US

  • 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.

Arizona

  • Monitor a specific group of patients and support them in achieving short and long term health goals.
  • Coordinate with providers to ensure patients' needs are met through remote monitoring technology.
  • Manage patient onboarding, device setup, data management, and quality assurance for remote monitoring programs.

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130 medical providers, caring for more than 200,000 patients statewide. Their mission is to help communities 'Live Better, Live Longer' through personalized healthcare, with a focus on preventing leading causes of death.

US

  • Take inbound calls from patients, providers, and members to assist with healthcare needs, insurance questions, and triage support.
  • Provide empathetic, patient-focused service in a remote environment, managing calls that may involve emergent situations.
  • Support members with insurance navigation, including changing primary care physicians, locating urgent care clinics, and obtaining prescription authorizations.

Carenet Health has pioneered healthcare consumer engagement for over 30 years, interacting with 1 in 3 Americans daily to deliver positive experiences and improve outcomes. We foster a culture of collaboration, creativity, and accountability, empowering growth through trust and opportunity.

US

  • Coordinate and support CMS Hospital Quality Reporting Program activities, including work plans, timelines, and contractor oversight.
  • Develop training materials, presentations, and reports while facilitating cross-functional meetings and stakeholder communication.
  • Identify workflow improvements using AI tools in accordance with data privacy and quality standards.

HSAG is a healthcare consulting firm dedicated to improving the quality of healthcare delivery in the United States. As a growing team, we foster a collaborative culture focused on making healthcare better for everyone while having fun at work.

$120,000–$140,000/yr
US Unlimited PTO

  • Lead and develop the Care Coordination team, ensuring SLA targets are met across all patient communication channels.
  • Oversee the high-volume inbound patient chat queue, establishing coverage models, escalation protocols, and quality standards.
  • Create and maintain conversation guides and coaching materials that equip Care Coordinators to educate patients on programs, insurance coverage, and care pathways.

Oshi Health is a virtual digestive health practice on a mission to transform GI care by combining compassionate, multidisciplinary care with innovative technology. They are a remote-first, mission-driven team focused on improving patient lives and transforming GI care.

US

  • Serve as a key point of contact for patients scheduling diagnostic imaging and other services across multiple departments.
  • Manage high-volume inbound and outbound interactions with empathy and accuracy while documenting in CRM systems.
  • Adhere to HIPAA standards and follow established workflows to ensure efficient patient care coordination.

Carenet Health provides healthcare support services including patient scheduling and coordination. They foster a collaborative culture with a focus on growth and accountability, employing a team-oriented workforce.

  • Supervise day-to-day operations of clinical compliance auditors and specialists, serving as a liaison to senior management.
  • Coordinate orientation, training, and performance monitoring for clinical compliance auditors to promote professional growth.
  • Oversee development of UM and PHM agenda, audit guidelines, and ensure adherence to denial processes and compliance requirements.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, aiming to make healthcare affordable and improve patient health. It is a physician-led, remote-first organization that leverages AI and predictive analytics to empower partners in delivering high-quality, value-based care.

$155,000–$165,000/yr
US

  • Plan, develop, and direct all aspects of onshore and offshore BPaaS activities to ensure operational efficiency and customer success.
  • Establish operational objectives, policies, and procedures in compliance with contracts and regulations, and develop strategies to achieve key performance measures.
  • Provide executive-level briefings to senior leadership and build collaborative relationships with client leadership to drive continuous improvement.

UST HealthProof is on a mission to reshape healthcare insurance by reducing administrative costs and building better healthcare experiences for health plans and their members. The company is run by leaders with strong health plan and technology backgrounds, fostering a supportive, start-up-like environment that nurtures individual growth.

US

  • Provide member-centered support by answering inbound calls and chats with empathy and clarity.
  • Resolve core member issues including benefits coverage, cost-sharing concepts, and network provider searches.
  • Own issues end-to-end using established workflows and document interactions accurately.

Included Health is a healthcare company delivering integrated virtual care and navigation. They are remote-first and focus on raising the standard of healthcare for everyone.

US

  • Make outbound calls to schedule appointments for preventative health screenings and assess high-risk patients.
  • Assist members with benefits, insurance information, and conduct surveys to enhance their healthcare experience.
  • Work remotely from home in a role that requires strong computer skills, empathy, and excellent customer service.

Carenet Health pioneers advancements across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They have over 30 years of experience and foster a collaborative, innovative culture focused on growth and accountability.

$19–$22/hr
Global

  • Provide friendly, accurate, and timely service to customers through inbound and outbound interactions across multiple channels, resolving issues and educating on healthcare benefits.
  • Conduct outbound outreach for program enrollment and clinical quality calls, using consultative listening to overcome objections and guide customers.
  • Document all interactions thoroughly, adhere to HIPAA and regulations, and meet or exceed performance goals for customer satisfaction and quality.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making healthcare affordable, and improving patient health. It is a physician-led, growing organization with a collaborative, agile culture emphasizing cross-training and ongoing development.

$45,000–$52,000/yr
US Unlimited PTO

  • Manage high-volume inbound communications across phone, email, chat, and SMS as the first point of contact for patients.
  • Schedule appointments and coordinate with GI Providers, Registered Dietitians, and Behavioral Health Providers.
  • Respond to billing and insurance questions, triage clinical inquiries, and de-escalate challenging interactions with empathy.

Oshi Health is a virtual digestive health practice transforming GI care by combining compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions. It is a remote-first, mission-driven high-growth startup with a focus on patient-centered care and team collaboration.

$75,000–$85,000/yr
US

  • Supervise and coach a team of Outreach Specialists to meet engagement targets.
  • Conduct call audits and manage performance metrics like schedule rate and show rate.
  • Partner with market teams and drive adoption of new AI tools.

Accompany Health is a primary, behavioral, and social care provider for patients with complex needs, offering at-home and virtual care. They are a fast-paced startup with an empathetic care team, guided by proven care models.

US

  • Schedule clinicians for cases in assigned areas.
  • Organize duties and maintain staff and patient schedules.
  • Submit reports and work virtually with limited supervision.

CommonSpirit Health at Home provides full-service home health and hospice care. As a faith-based organization, it is committed to improving patient health and community well-being.

US

  • Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
  • Assist participants via email and online messaging, and accurately document all participant communications.
  • Work independently and in a team environment with strong customer service skills; no experience required as training is provided.

Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.

$19–$21/hr
US

  • Build trusting relationships with patients and providers to address health barriers and coordinate care.
  • Navigate medical, behavioral, and social systems to connect patients with appropriate resources.
  • Support value-based care outcomes through proactive outreach, documentation, and quality measures.

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. As a growing and innovative organization, we operate with a high degree of agility.

$55,000–$60,000/yr
US

  • Lead, coach, and develop a team of Engagement Specialists through regular feedback and performance management.
  • Conduct compassionate outreach to patients, explain services, and guide them through onboarding with accurate EHR documentation.
  • Oversee daily operations, optimize PRM workflows, and collaborate with clinical teams for seamless care transitions.

The employer is a mission-driven healthcare organization dedicated to improving access to behavioral health support for individuals navigating complex medical journeys. It is a fast-growing, startup-like company with a collaborative culture focused on continuous learning and innovation.

US

  • Conduct outbound calls to pharmacies to support patient care initiatives and address medication-related cases.
  • Communicate professionally with pharmacy staff and clinical teams to resolve issues and gather information.
  • Maintain accurate documentation and records within internal software platforms to ensure compliance.

The partner company is a fast-growing healthcare technology organization that connects patients, providers, and pharmacies to improve healthcare outcomes. It has a mission-driven and supportive team culture, focusing on improving patient care through innovative technology.

$84,200–$96,800/yr
US

  • Provide administrative and operations support to executives, managing complex calendars, travel, and expenses.
  • Coordinate internal and external communications, meeting materials, and project deliverables.
  • Plan company-wide events and support recruiting and onboarding efforts.

Honest Health is a healthcare company that partners with health systems, physician organizations, and payers to deliver innovative primary care solutions that elevate care and control costs. They are a startup with a collaborative culture focused on purpose, innovation, communities, and kindness.

US 4w PTO 12w maternity 12w paternity

  • Lead EHR optimization projects to support value-based care initiatives for partner practices.
  • Collaborate with practice stakeholders to identify and implement EHR solutions for improved patient outcomes.
  • Facilitate data exchange and provide expertise on top-tier ambulatory EHR systems.

Aledade empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the US with a remote-first, collaborative culture.