Clinical Quality Manager

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 assume responsibility for many HCHB and back-office clinical functions.

This centralized role is purpose-built to focus on accuracy, timeliness, regulatory compliance, and efficient process. This critical role relieves a portion of the administrative burden for branch teams, allowing Branch Clinical Managers to fully focus on active management of patient care and clinician skill 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 backbone support to the field clinical team. This is not a field position — the Clinical Quality Manager operates from a central hub to ensure that orders, EMR workflows, back-office clinical functions, and regulatory and billing compliance tasks are completed with accuracy and timeliness. The Clinical Quality Manager brings the knowledge and expertise of a registered nurse to back-office functions that require clinical oversight — processing and approving orders, monitoring patient status flags in EMR/dashboards, and supporting quality and compliance tracking.

This role is purpose-built to take high-volume, process-intensive clinical tasks off the branch Clinical Manager's plate so that the branch Clinical Manager can focus on direct clinical oversight, coaching, and rehospitalization prevention in the field. This is NOT a passive support role. The Clinical Quality Manager is accountable for timely, accurate clinical decision-making within the EMR.

You will own workflows that directly affect patient safety, billing integrity, and regulatory compliance. What You'll Do
Drive quality, safety, and compliance through systems
Identify recurring clinical and documentation issues and implement process improvements

Support quality assurance activities by ensuring clinical work meets standards before downstream review

Order management & EMR workflow execution
Review and approve new orders in EMR; ensuring:
compliance with documentation standards for verbal orders

orders are complete and address patient care needs

Complete clinical escalation reviews at intake to support referral processing

End of episode management
Review daily discharge reports; verify DC summaries and signed orders are complete and accurate

Confirm NOMNC is on file for all appropriate discharges

Process discipline-only and full discharge orders as they arise

Hospital Hold Process Management
Manage hospital hold information, inpatient transfer processes, and POC completion for hospitalized patients

Discharge clients in facility at end of episode as needed

Manage resumption of care workflows, ensure timely resumption of care, oversee pending delay approvals in the EMR

Quality & Compliance Monitoring
Review and track infection control reports

Monitor for wound score deviations and escalate appropriately

Review and trend QI events weekly; identify patterns and flag for clinical leadership

Review and process clinical alerts and potentially avoidable event notifications

Audit missed visits by clinician and unverified missed visits daily to support appropriate care delivery as well as LUPA risk management; confirm proper documentation and follow-up

Patient Status Monitoring
Monitor vital sign parameter alerts for active patients, ensuring appropriate documentation, notifications, and follow-up; escalating to branch Clinical Manager as appropriate

Review coordination notes for physician updates, medication interactions, and clinically significant medication issues

Review dashboards for change-in-condition with appropriate clinical judgment and escalation

Who You Are
A detail-oriented, systems-driven RN who finds satisfaction in executing complex workflows with precision and timeliness. You are comfortable working independently in a remote environment and thrive in a role where your EMR proficiency and clinical knowledge directly protect patient safety and compliance integrity.
Must-haves
Active RN license (required) — clinical judgment is core to this role

Strong EMR proficiency with HCHB

Exceptional attention to detail and commitment to documentation accuracy

Ability to manage high-volume, time-sensitive workflows without losing quality

Understanding of home health regulatory requirements

Ability to work independently and manage time effectively in a remote environment

Clear written and verbal communication; ability to escalate clinical concerns appropriately