Director, Clinical Quality And Compliance (remote)

Customer Service · United States

Job description

Director, Clinical Quality

If you got into healthcare to make a difference, you’re in the right place.  We’re looking for a values-driven, mission-focused, dynamic Director, Clinical Quality who is passionate about working with seniors (and their families), especially those navigating mental and behavioral health challenges.  Someone who is searching for a workplace and culture that is as committed to them as they are their patients.  If that’s you, read on!

What’s Rippl?

At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring mental healthcare to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we’re ready to take action. 

We’re reimagining what it feels like to experience a mental health challenge as a senior.  By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around mental and behavioral healthcare, both for seniors and their families and caregivers.  Helping them stay healthier, at home longer, and out of the ER.

Our Core Values 

At Rippl, we live and breathe a set of shared, core values that help us build the best team, guide how we work together, and best serve our patients, families and caregivers. 

If not Us, then Who?  Seniors need better mental health care NOW.   Our mission is urgent.  And, we’ve got the perfect team to take this on.  

Mission is our Middle Name  There is no more noble mission than caring for seniors with mental health challenges. We’ve set out to make a giant, lasting, transformational impact. 

Care Team Obsession  Our team members are our focus, our obsession. We listen and learn from, and with, our clinicians to find the right answers. When we care obsessively for our clinicians, our patients and families will get the care they deserve.

Moving Mountains  We see what we’re doing as a movement–a movement focused on solving one of the most important, most urgent challenges in healthcare for a really special group of people. 

Raising the bar, for everyone We are leveraging world class expertise to define a new standard of care. Partnering with the country’s leading academic institutions and geriatric clinicians, we are bringing clinical excellence to our seniors.

We’re looking to find other changemakers who are ready to join our movement. Those who believe serving seniors is their calling, their reason for jumping out of bed every day. Our ambition is to create a nirvana workplace for this tribe! And, most importantly, help them make a giant difference in the lives of their patients. Because, “if not us, then who?” 

The Role

The Director, Clinical Quality will play a key role in ensuring the highest standards of clinical quality and regulatory compliance, contributing to the success and integrity of our organization. The position is responsible for supporting creation of high quality, compliant Care Team policies & procedures, assuring clinical data integrity and compliant operations.  This role will develop the activities and series of measures that are designed to  uphold our commitment to excellence in patient care and regulatory compliance. The ideal candidate will possess strong analytical skills, a thorough understanding of clinical compliance requirements, and the ability to foster a culture of continuous improvement. The Director, Clinical Quality will report Rippl’s Privacy Officer.

Responsibilities: 

  • Develop, implement, and oversee clinical quality improvement initiatives to enhance patient care
  • In collaboration with Rippl Care Team, design policies and procedures that support delivery of care that meets all quality and compliance standards. 
  • Identify and mitigate operational and clinical risk to drive continuous process improvement
  • Ensure clinical quality compliance with CMS guidelines for Medicare and the Guide Program
  • Manage compliance concerns in collaboration with risk management and legal teams  
  • Work in collaboration with Risk Management and Legal to research and identify compliant approaches to manage clinical and operational challenges in a telehealth setting
  • Manage and maintain accurate and comprehensive clinical data records
  • Develop and enforce data quality control procedures to ensure data integrity and accuracy
  • Analyze clinical data to identify trends, measure performance, and inform quality improvement effort
  • Conduct regular internal audits of the Rippl Care Team: clinical process adherence, accuracy of documentation and quality of care delivery to ensure compliance with regulatory standards
  • Prepare detailed audit reports, presenting findings and recommendations to senior management
  • Ensure compliance with all relevant healthcare regulations and standards (e.g., HIPAA, JCAHO)
  • In collaboration with the Clinical Trainer, provide support to clinical staff on quality improvement processes and compliance requirements and develop educational materials to promote a culture of quality and compliance within the organization
  • Work closely with clinical teams, internal administrative and operational colleagues and external regulatory bodies to ensure comprehensive quality management
  • Serve as a liaison between the organization and regulatory agencies during inspections and audits
  • Foster open communication and feedback channels to continuously improve clinical quality processes
  • Adhere to legal and ethical standards of practice, including maintaining patient confidentiality and upholding professional boundaries

Qualifications: 

  • 8+ years of experience in managing clinical quality/compliance programs, experience building these programs preferred
  • Proven track record of managing clinical data, conducting audits, and leading quality improvement initiatives
  • Preferred experience in telehealth
  • Bachelor’s degree in Healthcare Administration, Nursing or a related clinical field. A Master’s degree is preferred
  • Relevant certifications in clinical quality management or compliance (e.g., CPHQ, CHC) are a plus
  • Strong understanding of clinical compliance regulations, standards, and guidelines (e.g., HIPAA, JCAHO, FDA)
  • Strong understanding of clinical quality standards, regulatory requirements, and best practices
  • Proficiency in clinical data management systems and quality assurance tools
  • Excellent analytical and problem-solving skills
  • Strong organizational and multitasking abilities
  • Excellent communication and interpersonal skills
  • High attention to detail and a commitment to maintaining the highest standards of clinical quality and compliance
  • Ability to work independently and as part of a team in a fast-paced environment
  • Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility 
  • Fast growth company with opportunities to take on more responsibility or develop into new roles
  • Remote work opportunity
  • Flexible schedules
  • Competitive compensation 
  • Annual bonus eligibility 
  • 401(k) plan with a healthy match 
  • Medical, Dental and Vision coverage for you and your family 
  • Life insurance and Disability
  • Well-being and Remote Work stipend
  • Competitive PTO 

Pay Range Details

The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations.

Role: Range is $130,000 - $170,000, depending on experience

Bonus: Opportunity to earn up to 10% of total compensation 

We are going to make some very big waves starting with a small Rippl - come join us!

Apply online at www.ripplcare.com/careers



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