Clinical Program and Quality Manager

📋 Description

• Lead daily clinical operations for assigned RN/MA programs, including supervision, huddles, coverage plans, and service recovery.
• Provide functional leadership to internal and contractor RN/MA staff, program leads, and supervisors.
• Ensure RN/MA coverage is distributed to prevent single-point strain and minimize program risks.
• Ensure RN/MA documentation meets HEDIS/CMS, client, and internal SOP standards.
• Maintain a living RACI for programs and monthly RN/MA invoicing.
• Monitor clinical KPIs and trigger corrective actions to meet safety and quality goals.

🎯 Requirements

• Bachelor’s degree in Nursing or equivalent experience.
• Licensed RN; compact/multistate licensure preferred.
• 5+ years clinical/nursing experience; telehealth experience preferred.
• 2+ years leading clinical teams in high-volume settings; vendor management a plus.
• Experience owning clinical QA, chart audits, and documentation reviews.
• Proficient with Athena, Healthie, Salesforce, Zendesk, Twilio, Slack, and Google Docs; MS Office.