Clinical Quality Manager

Adaptive Home Health • Houston, TX

5d • Remote

About The Position

We are fixing US healthcare by building an AI-native physical care platform, starting with home health. We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans to build a new type of healthcare company: one that delivers care at the speed of an AI company.
Our centralized team of Clinical Quality Managers support many HER back-office clinical functions. This role is designed to help ensure accurate documentation, timely workflow completion, regulatory compliance, and high-quality patient care. By providing centralized clinical support, Clinical Quality Managers help reduce administrative burden on branch teams so local clinical leaders can focus on patient care and clinician development.
Position Type: Remote, centralized position supporting multiple branch clinical field teams.
Position Overview
The Clinical Quality Manager is a centralized, remote RN role that provides clinical and administrative support to field clinical teams. This is not a field position—the Clinical Quality Manager works remotely to help manage EMR workflows, order processing, and compliance-related activities.
This role serves as an important partner to branch clinical leadership by helping ensure clinical documentation, order processing and workflows are completed accurately and on time. Success in this role requires strong attention to detail, sound clinical judgment, and comfort working in a fast-paced, technology-driven environment.

Requirements

• Active RN license
• Prior home health field experience
• Minimum of 1 year of experience working in Homecare Homebase (HCHB) back office workflows
• Strong understanding of home health documentation and regulatory requirements
• Strong organizational skills and attention to detail
• Ability to manage multiple priorities in a remote work environment
• Effective written and verbal communication skills

Nice To Haves

• Multistate/Compact RN License
• Willingness to seek additional state licensure
• Previous home health management experience
• Experience supporting multiple locations or clinical teams remotely

Responsibilities

• Support Quality, Safety, and Compliance: Help identify recurring documentation and workflow opportunities for improvement, Support quality assurance activities by ensuring clinical work meets organizational standards
• Order Management & EMR Workflow Support: Review and process physician orders within the EMR, Ensure verbal orders meet documentation requirements, Confirm orders are complete and aligned with patient care needs, Support intake and referral processing through clinical review as needed
• End of Episode Management: Review discharge reports to ensure required documentation is complete, Process and lock transfer to inpatient facility and death at home OASIS visits, Verify discharge summaries and signed orders are present, Confirm NOMNC documentation is completed when applicable, Process discharge-related orders as needed
• Hospital Hold Process Support: Manage hospital hold documentation and inpatient transfer workflows, Assist with plan of care updates for hospitalized patients, Support resumption of care workflows and monitor pending approvals, Complete discharge workflows for patients who remain in facilities at the end of an episode when appropriate
• Quality & Compliance Monitoring: Review infection control reports and escalate concerns as needed, Monitor wound score documentation and identify variances, Review quality improvement events and communicate trends to leadership, Process clinical alerts and potentially avoidable event notifications, Audit missed visits and related documentation to support quality care delivery and reimbursement compliance, Monitor for timely initiation of care concerns
• Patient Status Monitoring: Review vital sign alerts and ensure appropriate follow-up documentation is completed, Monitor coordination notes for physician updates and clinically significant medication-related concerns, Review EMR dashboards for changes in patient condition and escalate issues appropriately

Benefits

• Transforming home healthcare through technology, operational excellence, and clinical expertise
• Opportunity to make a meaningful impact on patient care
• Work remotely alongside innovative healthcare and technology professionals

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed