Clinical Quality Specialist (RN)

We’re committed to providing positive health outcomes to patients across the world, no matter their situation. We want everyone to have ‘insider access’ to great healthcare. At Grand Rounds Health, the Clinical Quality Specialist will join the Clinical Quality and Safety team to further this mission by identifying high-yield clinical quality measures across our innovative and growing set of digital health services; working with our clinical, engineering, analytics, and data science teams to implement those measures; communicating those results to the clinicians and clinical managers; and working with clinicians and clinical managers on continuous quality improvement. Most importantly, at Grand Rounds you will become part of the health care solution by sharing our passion for saving lives through better health care quality and raising the standard of healthcare for everyone, everywhere. We are seeking highly motivated clinicians who thrive in a fast-paced environment, lead with empathy, and who are passionate about promoting high-quality, evidence-based clinical care in all care settings. Clinicians who thrive in this role are inquisitive and independent, comfortable working with and interpreting data, and happy working across multiple teams and with clinicians and non-clinicians in many disciplines, specialties, and professional levels.

Responsibilities

• Exercising nursing judgment and using clinical knowledge to evaluate the quality of nursing and medical assistant tasks and interactions in virtual care support operations (the “back desk” of our virtual clinics), triage, and care management.
• Reviewing documentation for accuracy, clinical judgment, and adherence to protocols and workflows.
• Reviewing clinical calls and documentation and determining quality using standardized evaluation tools.
• Reviewing dashboards of quality metrics, identifying potential issues, and alerting appropriate managers.
• Performing targeted chart audits and clinical call reviews to gather quality data to support quality assurance and continuous improvement activities.
• Participating in the design, implementation, and evaluation of quality improvement activities.
• Administering quality assurance data collection, including maintenance and updates to forms, assignment and tracking of activities done by external evaluators, and creation of reports and presentations summarizing quality assurance data.
• Using clinical knowledge, experience, and problem solving skills to interpret clinical quality data, identify opportunities for improvement, and generate ideas.
• Defining priorities, understanding competing interests, and exercising judgment in work within the team and in demands placed on supporting teams such as analytics, data science, and engineering. Assisting clinical managers with identifying quality risks and improvement opportunities in their service lines, defining appropriate measures, and following best practices in carrying out quality improvement initiatives.
• Supporting our quality audit team in preparation and presentation of cases selected for client audits.
• Recommending and assisting with individual performance improvement programs when necessary.
• Strictly following security and HIPAA regulations to protect our patients’ medical informationModeling our culture and values through humility and curiosity

Qualifications

• At least three years of experience as a registered nurse, preferably in primary care, care management, or outpatient clinics
• Prior experience in a quality improvement role or a relevant certification is a plus
• BSN required
• Be a licensed provider in good standing with your state nursing board
• Be self-motivated and able to work independentlyExcel at communicating with patients and other clinicians, and enjoy doing so.
• Be able to identify and communicate factors that contribute to a good patient experience and outcome.
• Be able to write and communicate medical information at a level appropriate to different audiences, including other clinicians, patients, analysts/data scientists, and executives.
• Be systems-oriented, inquisitive, analytical, and understand how the different parts of the healthcare system work together (or don’t) to produce an observed result.
• Be flexible and comfortable with working in a rapidly-changing environment.
• Be pleasant, responsive, and willing to work with, teach, and learn from our teamBe proficient and comfortable with technology, including spreadsheet analysis, reporting and graphing tools, electronic health records, and Google apps. Prior Looker or similar experience is a plus.
• This is are mote position, so reliable high-speed internet connection is required

About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual