Clinical Specialist II (RN), Quality

OpenLoop Health

1d•Hybrid

About The Position

OpenLoop's mission is to bring care anywhere by powering telehealth solutions at scale. This is an incredible opportunity to support the Clinical Quality team in a fast-paced, innovative company that puts the patient at the center of everything we do. This role is for a clinical care professional with a demonstrated passion for clinical quality and exceptional attention to detail. This pivotal Registered Nurse role offers a unique opportunity to contribute to OpenLoop's commitment to clinical excellence. Supporting the Director of Quality, you will help drive key initiatives that optimize clinical outcomes, ensure adherence to best practices, and maintain high standards of patient care. This role leverages your clinical expertise and analytical skills to support continuous quality improvement across programs and enhance the safety and effectiveness of care delivery.

Requirements

5+ years of clinical experience (telemedicine, acute care, or case management preferred).
Strong understanding of clinical quality principles and best practices.
Excellent attention to detail and analytical skills.
Experience with data tracking and reporting.
Strong communication and collaboration skills.
Proactive, solution-oriented mindset with a focus on continuous improvement.
Strong organizational skills with the ability to manage multiple priorities.
Proficient with telehealth technology and EHR systems.
Ability to troubleshoot technical issues and support others.
Commitment to high-quality, patient-centered care.
Ability to work independently and in a fast-paced team environment.
Professional, reliable, and timely.

Nice To Haves

Experience in quality assurance, training, or operations is a plus.
Telemedicine or virtual care experience preferred.

Responsibilities

Collaborate closely with the entire team to provide essential support in key areas.
Conduct in-depth Root Cause Analyses (RCAs) of submitted incident reports, employing a meticulous and systematic approach to identify underlying factors.
Develop actionable improvement strategies based on RCA findings.
Provide targeted outreach to providers, focusing on education and feedback.
Track individual provider quality metrics to support performance improvement initiatives.
Assist the Director in overseeing all quality initiatives to ensure consistent high-quality care across the organization's diverse programs.
Develop a comprehensive understanding of all program operations and their unique requirements.
Conduct regular audits to verify clinical compliance with established treatment protocols.
Monitor adherence to service level agreements to ensure quality standards are met.
Monitor and analyze both provider and patient satisfaction data to identify areas for improvement in care delivery.
Contribute to ensuring consistent adherence to established standards of care among all clinicians.
Assist in overseeing and developing a robust system for tracking laboratory results and other critical clinical elements, tailored to the specific needs of each program.
Collaborate with program leadership to define essential data points and establish efficient tracking mechanisms.
Serve as a vital liaison between the company and clients, effectively addressing provider-related concerns and patient complaints regarding providers in a professional and timely manner.
Utilize strong communication and problem-solving skills to ensure positive resolutions and maintain strong client relationships.
Serve as an integral member of an interdisciplinary care team, collaborating effectively with colleagues to deliver exceptional patient care.
Maintain confidentiality and adhere to HIPAA regulations when handling patient information.
Participate in ongoing training and professional development activities to stay updated on survey protocols, healthcare regulations, and best practices.
Meet productivity targets and quality standards established by the organization.
Participate in training and onboarding.
Complete additional project work as assigned to support continuous improvement of team operations and patient experience.
Other duties as assigned.