Clinical Quality Manager
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Job Description
Clinical Quality Manager providing centralized remote support to clinical teams in healthcare AI startup. Ensuring quality compliance and accuracy in documentation and processes.
Responsibilities:
- Support Quality, Safety, and Compliance
- Help identify recurring documentation and workflow opportunities for improvement
- Support quality assurance activities by ensuring clinical work meets organizational standards
- Order Management & EMR Workflow Support
- Review and process physician orders within the EMR
- Ensure verbal orders meet documentation requirements
- Confirm orders are complete and aligned with patient care needs
- Support intake and referral processing through clinical review as needed
- End of Episode Management
- Review discharge reports to ensure required documentation is complete
- Process and lock transfer to inpatient facility and death at home OASIS visits
- Verify discharge summaries and signed orders are present
- Confirm NOMNC documentation is completed when applicable
- Process discharge-related orders as needed
- Hospital Hold Process Support
- Manage hospital hold documentation and inpatient transfer workflows
- Assist with plan of care updates for hospitalized patients
- Support resumption of care workflows and monitor pending approvals
- Complete discharge workflows for patients who remain in facilities at the end of an episode when appropriate
- Quality & Compliance Monitoring
- Review infection control reports and escalate concerns as needed
- Monitor wound score documentation and identify variances
- Review quality improvement events and communicate trends to leadership
- Process clinical alerts and potentially avoidable event notifications
- Audit missed visits and related documentation to support quality care delivery and reimbursement compliance
- Monitor for timely initiation of care concerns
- Patient Status Monitoring
- Review vital sign alerts and ensure appropriate follow-up documentation is completed
- Monitor coordination notes for physician updates and clinically significant medication-related concerns
- Review EMR dashboards for changes in patient condition and escalate issues appropriately
Requirements:
- Active RN license
- Prior home health field experience
- Minimum of 1 year of experience working in Homecare Homebase (HCHB) back office workflows
- Strong understanding of home health documentation and regulatory requirements
- Strong organizational skills and attention to detail
- Ability to manage multiple priorities in a remote work environment
- Effective written and verbal communication skills
- Multistate/Compact RN License preferred
- Willingness to seek additional state licensure
- Previous home health management experience preferred
Benefits:
- Active Compact RN License Required
- Help identify recurring documentation and workflow opportunities for improvement
- Support quality assurance activities by ensuring clinical work meets organizational standards
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