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Clinical Quality Manager

Adaptive Home Health · Remote

Quality AssuranceManager LevelRemoteQuick applyfull-time2 days ago

About The Role

Must be willing to attain Michigan RN license

About Us

  • We are fixing US healthcare by building an AI-native physical care platform, starting with
  • home health. We’ve built one of the best AI teams in the world (from Character AI, Scale,
  • Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans to build a
  • new type of healthcare company: one that delivers care at the speed of an AI company.
  • Our centralized team of Clinical Quality Managers support many HER back-office clinical
  • functions. This role is designed to help ensure accurate documentation, timely workflow
  • completion, regulatory compliance, and high-quality patient care. By providing centralized
  • clinical support, Clinical Quality Managers help reduce administrative burden on branch
  • teams so local clinical leaders can focus on patient care and clinician development.
  • Position Type: Remote, centralized position supporting multiple branch clinical field
  • teams.

Position Overview

  • The Clinical Quality Manager is a centralized, remote RN role that provides clinical and
  • administrative support to field clinical teams. This is not a field position—the Clinical
  • Quality Manager works remotely to help manage EMR workflows, order processing, and
  • compliance-related activities.
  • This role serves as an important partner to branch clinical leadership by helping ensure
  • clinical documentation, order processing and workflows are completed accurately and on
  • time. Success in this role requires strong attention to detail, sound clinical judgment, and
  • comfort working in a fast-paced, technology-driven environment.

What You'll Do

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

Who You Are

  • A detail-oriented RN who enjoys working within systems and processes to support high-quality patient care. You are organized, dependable, and comfortable managing multiple
  • workflows while maintaining accuracy. You work well independently and communicate
  • effectively with clinical teams when support or escalation is needed.

Requirements

Required

  • 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

Preferred

  • Multistate/Compact RN License
  • Willingness to seek additional state licensure
  • Previous home health management experience
  • Experience supporting multiple locations or clinical teams remotely

Compensation

Salary Range: $80,000 - $85,000 annually, dependent on experience (D.O.E.)

Why Join Us

  • Join a mission-driven team that is transforming home healthcare through technology,
  • operational excellence, and clinical expertise. You'll have the opportunity to make a
  • meaningful impact on patient care while working remotely alongside innovative healthcare
  • and technology professionals

This listing was posted by a verified recruiter at Adaptive Home Health. Report this listing