Quality and Compliance Manager

Gellert Health Inc•Phoenix, AZ

2d•Onsite

About The Position

Gellert Health is expanding to meet rising demand and Bring Care Back to Healthcare. We're looking for compassionate team members to grow with us, candidates who are grounded in our values of Kindness, Integrity, and Quality, as we expand our impact in the communities we serve! At Gellert Health, our mission is to Bring Care Back to Healthcare. We offer an unparalleled concierge level of health navigation and advocacy for the vulnerable, striving for excellence in care. Our foundation is built on kindness, integrity, and quality, values that resonate in our dedication to the community, patients, partners, and our team members. Gellert Health is committed to integrating cultural competence and the principles of trauma-informed care into our services. Gellert Health has transformed healthcare for the most vulnerable and underserved populations by providing Health Navigation Services aimed at enhancing both physical and behavioral health outcomes for patients. Our focus lies in addressing the primary barriers to quality healthcare, which include supporting patients in understanding and navigating the healthcare system and ensuring access to safe and reliable transportation. The Quality and Compliance Manager leads quality assurance, auditing, and navigator workflow oversight across Gellert Health’s operations. This role ensures compliance with state mandated documentation standards, care coordination processes, and operational expectations while serving as a professional organizational representative with external providers, community partners, health plans, and leadership. This position drives operational quality, navigator accountability, and continuous improvement through auditing, performance monitoring, and cross-functional collaboration. The ideal candidate builds strong internal and external relationships, communicates with professionalism and sound judgment, and represents the organization confidently in meetings, case reviews, and partner discussions. The ideal candidate brings a background in healthcare, nursing, care coordination, social work, or case management, with experience in quality assurance, auditing, and stakeholder engagement in a healthcare setting.

Requirements

At least 21 years old
39 months clear Motor Vehicle Record
Current Arizona driver’s license and Auto Insurance
Ability to successfully pass a criminal background check and a drug screening. (Any convictions will be evaluated based upon the conviction in relation to the job requirements. A criminal conviction is not necessarily a deterrent to employment.)
College degree and/or relevant work experience
Active AZ Fingerprint Clearance Card

Nice To Haves

Preferred background in healthcare, nursing, clinical services, patient navigation, care coordination, case management, or related healthcare field
Bachelor’s degree preferred in nursing, healthcare administration, business, or related field (or experience equivalent)
Minimum of 5 years of experience in healthcare operations, quality assurance, auditing, patient navigation, care coordination, or clinical oversight
Strong understanding of healthcare documentation standards, patient coordination workflows, and operational quality expectations
Experience conducting audits, analyzing performance data, and implementing process improvements

Responsibilities

Conduct routine note and scheduling audits to ensure completeness and accuracy, workflow efficiency, productivity, and adherence to legal and operational standards.
Complete patient quality checks to evaluate consistency in communication, follow-up, and care coordination
Identify workflow trends, documentation deficiencies, and quality concerns requiring operational follow-up
Maintain reporting and tracking related to audits, quality initiatives, and operational findings
Collaborate with Supervisors and Leadership regarding audit findings, quality concerns, and operational improvement opportunities
Ensure adherence to patient navigation workflows, documentation standards, company policies, and operational expectations
Identify operational risks, workflow concerns, and quality gaps, and assist leadership with corrective action planning
Support implementation and monitoring of quality improvement initiatives across navigation operations
Promote consistency, accountability, and operational excellence across navigator and patient support functions
Assist in maintaining organizational quality standards within navigation services
Track and evaluate patient outcomes, patient engagement, and navigation service effectiveness
Analyze quality and operational data to identify trends and opportunities for process improvement
Support initiatives focused on improving patient satisfaction, continuity of care, and overall patient experience
Participate in case conferencing and collaborate regarding patient coordination concerns, serving as a professional representative of the organization in interactions with external providers, community partners, health plans, and organizational leadership
Build and maintain strong working relationships with internal and external stakeholders to support effective care coordination, problem resolution, and continuity of care
Demonstrate professionalism, sound judgment, and strong communication skills when addressing complex patient coordination issues, facilitating cross-functional collaboration, and representing the organization in meetings, case reviews, and partner discussions
Foster trust and credibility with external organizational leaders through a consistent presence, accountability, and the ability to navigate sensitive situations with diplomacy and confidence
Assist leadership in developing operational strategies to improve navigation quality and service delivery
Support onboarding and training of new Navigators as needed
Provide education related to documentation standards, workflow expectations, and quality initiatives
Assist in identifying educational gaps and reinforcing operational best practices
Collaborate with Navigator Supervisors and Leadership Team to support staff development and operational consistency