Clinical Quality Manager
Cadence Health, Inc.
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Conduct routine and targeted audits of clinical documentation, patient communication, workflow adherence, and triage/escalation decisions.
- Evaluate clinical interactions to ensure alignment with Cadence protocols, quality standards, and regulatory expectations.
- Provide timely, detailed, and supportive feedback to clinicians based on audit outcomes.
- Maintain precise, HIPAA-compliant audit notes in accordance with Cadence processes.
- Identify trends, performance gaps, and opportunities for improvement using audit insights and operational data.
- Coordinate with the Compliance team on documentation audits, time tracking QA, and adherence to clinical and regulatory standards.
- Support Compliance in quality assurance processes, including periodic chart reviews, identification of adverse outcomes, and preparation for internal or external audits.
- Flag potential compliance risks to the Compliance team and assist in implementing corrective and preventive actions where appropriate.
- Partner with Training & Education to update onboarding materials, competencies, and ongoing clinical education content.
- Collaborate with clinical leadership on performance improvement plans and coaching frameworks.
- Participate in root-cause analyses, safety reviews, and corrective action initiatives.
- Work cross-functionally with Product, Operations, and Engineering to provide clinical perspective on workflow optimization and tooling enhancements.
- Demonstrate consistent performance, accountability, and professionalism in a fast-paced, technology-enabled care environment.
Requirements
- Active RN license (compact licensure preferred).
- 7+ years of clinical experience in acute care, ambulatory care, chronic disease management, or telehealth.
- 3+ years of experience in clinical quality, auditing, utilization review, compliance, or similar clinical oversight roles.
- Proven ability to evaluate clinical documentation and workflow adherence against established standards.
- Experience maintaining HIPAA-compliant environments and protecting patient confidentiality.
- Highly skilled in written, verbal, and interpersonal communication with the ability to deliver constructive feedback.
- Strong track record of working independently, managing time effectively, and delivering high-quality work with minimal supervision.
Benefits
- Reliable, HIPAA-compliant home office with stable high-speed internet.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentation auditingworkflow adherence evaluationquality assurance processesHIPAA complianceclinical quality oversightutilization reviewroot-cause analysisperformance improvement planningadverse outcome identificationdata analysis
Soft skills
written communicationverbal communicationinterpersonal communicationconstructive feedback deliverytime managementindependent workaccountabilityprofessionalismcollaborationcoaching
Certifications
RN licensecompact licensure