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