Quality Manager – Telehealth

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $83k - $93k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 20%

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Logo of CareTalk Health

CareTalk Health

51 - 200 employees

Founded 2021

🏥 Healthcare

🤝 B2B

Healthcare • B2B

CareTalk Health is a Clinical Process Outsourcing (CPO) company and virtual national medical practice that delivers virtual health solutions to healthcare organizations across the United States. It provides telehealth-focused clinical services and administrative processes that can be Medicare-billed when applicable, supporting Medicare and Medicaid populations. CareTalk operates as a virtual provider partner, enabling remote care delivery and revenue-cycle–eligible services for other healthcare entities.

📋 Description

• Own quality performance across RN, provider, PSS, and Engager calls and documentation, as well as organization-wide clinical quality outcomes • Define and maintain quality standards, audit criteria, and scorecards • Set the quality strategy and roadmap with the SVP of Clinical Services • Monitor HEDIS and other quality measures and align reviews with gap closure and improved results • Hire, supervise, and develop Quality Reviewers; assign workload and manage daily operations • Conduct reviewer calibration sessions • Coach and mentor Quality Reviewers in chart review, call evaluation, and provider feedback • Manage reviewer one-on-ones, feedback, and development plans • Design and maintain quality dashboards and reporting tools • Build and analyze datasets to identify trends, root causes, and improvement opportunities • Use Excel, reporting tools, and QA platforms to turn audit data into actionable insights • Present findings, trends, and recommendations to executive leadership • Partner with clinical leadership on improvement plans and targeted education • Ensure documentation and interactions meet internal standards, clinical protocols, and regulatory requirements • Serve as subject matter expert on quality standards • Participate in incident reviews, root cause analyses, and internal or external audits • Collaborate with operations, compliance, and QA-adjacent teams on metrics, workflows, and reporting • Report to the SVP of Clinical Services

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license required; multi-state license compact • 3+ years of clinical experience, including telehealth, ambulatory, or chronic care management preferred • Prior experience in quality management, quality assurance, or clinical audit within a healthcare setting • Supervisory or team-lead experience strongly preferred • Excellent computer skills, including demonstrated experience building and analyzing data (e.g., dashboards, spreadsheets, quality scorecards, BI tools) • Comfortable using EMRs, CRM platforms, call recording tools, and QA dashboards • Strong interpersonal skills and ability to deliver direct, constructive feedback to providers, RNs, and clinical staff • Sound clinical judgment and a rigorous, data-driven approach to quality • Effective people leadership and reviewer development skills • Windows or Apple (macOS) computer only; no Chromebooks, Linux machines, or smartphones • Windows 10 or macOS 14 Sonoma minimum • Intel Core i5 or AMD equivalent (Windows) or Apple Silicon (Macs) • 16 GB RAM • Wired headphones required; no built-in microphones • Minimum internet speed of 100 Mbps download and 50 Mbps upload • Ethernet cable connecting computer directly to router • Google Chrome with Amazon Workspaces • Webcam required for video calls • Reliable internet connectivity and secure, private workspace • All work must be performed physically within the United States; international work is not permitted during scheduled work hours

🏖️ Benefits

• Fully remote role • High visibility and impact • Opportunity to shape learning and development in a growing healthcare organization • Collaborative, cross-functional team environment

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