Job Description:
• Monitor daily clinical quality indicators, trends, and exceptions across all care settings
• Ensure adherence to evidence-based clinical standards, policies, workflows, and audit expectations
• Provide real-time guidance and escalation support for quality, safety, and workflow concerns
• Oversee daily compliance with federal, state, and accreditation requirements (e.g., CMS, state boards)
• Lead preparation and readiness efforts for audits; serve as a primary point of contact during reviews
• Maintain policies, procedures, and documentation aligned with evolving regulatory standards
• Track, investigate, and resolve compliance issues, incidents, and clinical remediation plans
• Lead continuous quality improvement initiatives using data, root cause analysis, and best practices
• Develop, maintain, and monitor quality dashboards and key metrics
• Provide leadership, coaching, and guidance to quality, compliance, and clinical support staff
• Support education and training related to quality standards, compliance expectations, and regulatory updates
• Communicate quality and compliance performance to executive leadership with clear insights and recommendations
• Partner closely with Clinical Operations Audit, Legal, and Compliance to drive aligned and efficient oversight.
Requirements:
• Bachelor’s degree in Nursing, Healthcare Administration, or related field
• Minimum of seven (7) years of experience in clinical quality, compliance, or healthcare operations
• Working knowledge of healthcare regulations, accreditation standards, and quality frameworks
• Demonstrated experience leading audits, surveys, or regulatory reviews
• Proven analytical, data-driven decision making, and clinical judgment skills
• Ability to balance daily operational demands with long-term quality strategy
• Data-driven decision-making and analytical skills
• Clear, confident communicator with clinicians and executives
• Proactive, solution-oriented leadership style with a balance of operational focus and strategic thinking
• Active clinical licensure (RN, NP, PA, or equivalent) preferred
Benefits:
• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts