Regional Clinical Quality Manager
About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and our proprietary digital collaboration app, we provide caregivers with support, guidance, confidence, and connection to resources they need. The Caregivers and families we support stay with Careforth for many years, building lasting relationships along the way. Join us today and live our values: lead with heart, cultivate trust, go beyond. Position Summary Reporting to the Regional Clinical Director, the Regional Clinical Quality Manager supports ongoing quality improvement initiatives, compliance with state and federal regulations, NCQA accreditation requirements and reinforcement of clinical best practices and Careforth policies and procedures. The Regional Clinical Quality Manager works closely with the Regional Clinical Director to coordinate and implement an approach to improved quality and compliance outcomes for their assigned region. What You Will Do • In collaboration with the Regional Clinical Director, supports effective deployment of clinical quality and compliance initiatives through partnerships with clinical staff and key stakeholders and monitors quality indicators and outcomes to identify improvement efforts • Supports application of consistent clinical practices as needs arise and advises care management teams on established policies, best practices, and appropriate documentation consistent with regulatory requirements and NCQA accreditation standards • Assists operations managers and the Regional Clinical Director to monitor incident reports, complaints, and compliance inquires; serves as resource for providing feedback on documentation to drive quality improvement • Based on internal audit findings, provides follow-up education to care management teams and serves as a resource for developing corrective action plans • Assists Regional Clinical Director with identification of process or training needs using gap analysis methodologies; escalates issues or areas of concern to management team as needed • Perform other duties as assigned What You Will Bring • Must hold an active Registered Nurse (RN) license in a state within assigned region ( OH or IN) • 4-6 years of recent experience in direct care of elders or adults with disabilities • General knowledge of care management principles with demonstrated experience designing and developing quality improvement projects required; Knowledge of NCQA, governing and regulatory agency requirements preferred • Strong analytical and creative problem-solving skills; Ability to identify opportunities for improvement and measure results • Proficiency with Microsoft Office (e.g. PowerPoint, Word, and Excel) and medical documentation systems is required; Salesforce experience is a plus • Strong written and verbal communication skills; excellent interpersonal skills with customer focus and ability to develop strong working relationships with cross-functional teams • Ability to travel periodically within assigned geographic area mostly by automobile but may include air travel or overnight travel; valid driver’s license and automobile insurance is required. You'll Benefit From At Careforth your well-being matters. With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our benefits are designed to help you thrive, both professionally and personally. Discover how we invest in you: The pay range for this position is $75, 270 - $92,215 . The actual wage offered may be lower or higher depending on budget and candidate experience, knowledge, skills, qualifications, and geographic location. Join Our Award Winning Team Founded in Boston, Careforth's caregiver programs and services improve health outcomes, keeping care at home longer. Additionally, our programs provide financial benefit to caregivers and cost savings to state agencies and health plans. At Careforth, we understand the challenges of caregiving and are committed to supporting family caregivers at every turn. Caregivers play a critical role in the future of healthcare—and so can you. Apply now! For more information, please visit www.Careforth.com. Careforth is an Equal Opportunity Employer* DISCLAIMER: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. • Careforth supports families with diverse backgrounds and as an equal opportunity employer, we seek employees who reflect the diverse population we serve. Careforth complies with all applicable laws concerning hiring and employment practices and is firmly committed to fostering and maintaining a workplace free from discrimination. We pledge to hire, train, and promote our employees without regard to race, religion, gender, gender identity, genetic information, age, national origin, sexual orientation, disability, veteran status, or any other category protected by applicable law. Careforth strives to create experiences that are accessible and welcoming to everyone, including making www.careforth.com and the careers site accessible to any and all users. If you would like to contact us regarding the company’s diversity, equity and inclusion initiatives, inquire about a specific accessibility need or the accessibility of our website, or if you need assistance completing an application process, please contact People & Culture at 866-797-2333. Apply tot his job