Clinical Quality Manager – Medication Care

🔥 31 minutes ago

🇺🇸 United States – Remote

💵 $97k - $113.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Clinical Operations

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Spring Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Spring Health is a comprehensive mental health solution designed for employers and health plans. It utilizes Precision Mental Healthcare to deliver personalized mental health support by matching individuals with the right care, whether it's digital support, meditation exercises, coaching, therapy, or medication. By partnering with leading organizations, Spring Health aims to improve mental health accessibility and outcomes, reduce employee turnover, and enhance productivity. Trusted by over 4,500 organizations, the company provides an evidence-based approach that has been proven to deliver positive clinical and financial results.

📋 Description

• Drive and maintain high standards of clinical quality for Medication Providers • Investigate Quality of Care concerns by reviewing member complaints, provider documentation, and internal quality metrics • Determine appropriate provider remediation, interventions, escalations, and corrective actions • Partner with Medication Prescribers to obtain information, provide performance coaching, reinforce policies and quality standards, and support quality improvement • Conduct post-intervention compliance audits and monitor persistent compliance gaps • Analyze and report quality trends, recurring performance concerns, and provider performance data • Manage the annual peer review program for all Medication Prescribers • Maintain and optimize peer review tracking systems and documentation processes • Operationalize peer review findings and facilitate provider performance improvement initiatives • Serve as a Medication Management quality subject matter expert and cross-functional liaison • Develop educational materials, slide decks, onboarding, continuing education, and professional development documentation • Identify gaps in Medication Management policies and procedures and update the policy manual • Collaborate with Legal/Compliance, Provider Operations, Clinical Operations, Credentialing, Clinical Product, Business Intelligence, and other stakeholders on quality investigations, initiatives, operational projects, and systems development

🎯 Requirements

• Behavioral Health Technician, Medical Assistant, LPN, RN, or similar direct care delivery role within behavioral health • 3–5 years of experience in fast-paced direct healthcare, technology, or clinical research environments • Active LPN, RN, or NP license with a minimum of 3 years of clinical experience in behavioral health, psychiatric care, medication management, or related healthcare settings • Expertise in medical terminology, common medications, and behavioral health conditions • Experience working directly with medical providers on delivering high-quality care • Experience supporting provider populations prescribing psychiatric medications • Experience in behavioral health quality assurance, provider performance management, clinical operations, or healthcare quality improvement • Strong knowledge of clinical documentation standards, provider quality oversight, and behavioral healthcare compliance requirements • Experience developing, maintaining, or improving operational workflows, reporting systems, dashboards, or quality tracking tools • Experience developing provider-facing educational materials, onboarding resources, operational guidance, or training documentation • Strong written and verbal communication skills • Strong organizational skills and attention to detail; ability to manage multiple concurrent workstreams and operational priorities • Ability to thrive in a fast-paced and evolving environment with shifting priorities and operational ambiguity • Collaborative, solutions-oriented, and operationally minded approach to problem solving • Interest in leveraging AI-enabled tools, workflow automation, and systems improvements • Experience with ZenDesk, SalesForce, or similar customer service platforms is a plus • Understanding of mental health and the broader U.S. healthcare system • Global health experience is a plus • Nice to have: tele-behavioral health or EAP experience; managing peer review initiatives; support for accreditation and regulatory bodies

🏖️ Benefits

• Equity • Health, Dental, Vision benefits start on your first day • One Medical accounts • HSA and FSA plans, with Spring contributing up to $1K for HSAs depending on plan type • Employer-sponsored 401(k) match of up to 2% • Yearly allotment of no-cost visits to Spring Health therapists, coaches, and medication management providers for employees and dependents • Paid time off including vacation, sick leave, and company holidays • Parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents after 6 months’ tenure • Noom weight management program • Carrot fertility care support and $4,000 reimbursement for related fertility expenses • Wellhub fitness, mindfulness, nutrition, and sleep subscription • BrightHorizons sponsored child care, back-up care, and elder care • Up to $1,000 annual professional development reimbursement • $200 per year donation matching • Fully remote work arrangement • Occasional travel for team or company events/meetings

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