Clinical Quality Lead

The Role:

To ensure that our care team is providing high-quality care, delivered in accordance with best practice and agency policy, we are looking for a Clinical Quality Specialist to oversee day to day quality inputs for Hazel’s therapists. The Specialist will partner closely with the Clinical and Operations teams to monitor care quality at scale. This individual will work to refine and improve quality metrics that relate to clinical care, and ensure that management has necessary information regarding the performance of clinicians under their supervision, partnering closely in provider performance management. This role supports the advancement of measurement-based care, data–informed quality improvement, and provider excellence.

Conduct chart reviews and payer audits (30%)

• Review clinical notes and individual clinician metrics to evaluate quality of care as well as adherence to operational policies and procedures for all clinicians, in order to ensure that care is effective, safe, and delivered according to agency policies.
• Identify training needs through auditing activities and work collaboratively with provider learning and enablement to build support resources and fill training gaps.
• Ensure that Director of Care Quality Assurance has visibility into performance issues, training needs, and systemic improvements which may be necessary to ensure that clinicians are able to successfully and effectively provide care
• Compile data and documentation for payer audits

Review and respond to incident reports (15%)

• Review incident reports, determine next steps and escalation paths including communication with providers, clients and/or partners
• Refine and improve upon incident reporting processes

Provide QA feedback to clinical leadership; support managers in providing feedback to clinicians (10%)

• Share relevant metrics to clinical team leadership and managers regarding individual and team performance
• Support feedback delivery and performance management processes, including performance improvement plans

Monitor quality metrics (20%)

• Support Director of Care Quality to ensure that clinical team QA metrics accurately and comprehensively measure performance
• Identify provider quality issues and work closely with management to address them