Clinical Quality Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct clinical case evaluations on sepsis alerts by reviewing the encounter record, establishing the clinical timeline, assessing whether the alert functioned as intended, and generating an internal case review that includes cited evidence and a suggested next action.

• Develop and utilize knowledge regarding how the product generates, suppresses, and issues flags, incorporating EHR data that drives these functions.

• Analyze AI-assisted triage and classification processes, including the investigation and categorization of complaints, ticket creation, and draft acknowledgments, while rectifying unsupported outputs.

• Compose communications to clinicians and clinical informatics teams, ensuring patient privacy is maintained and avoiding providing clinical direction.

• Direct issues to data science, engineering, implementation, or clinical teams, while effectively managing tickets through to resolution.

• Dispatch closure communications and finalize resolved tickets.

• Handle a concurrent caseload in alignment with response commitments; monitor status, prioritize based on clinical and client risk, and maintain an updated queue.

• Detect recurring patterns such as mapping failures, interface latency, and suppression gaps; quantify frequency and escalate issues to the responsible teams.

• Design and enhance case review templates, evidence standards, response language, triage protocols, and escalation pathways.

• Document procedures to ensure that reviewers arrive at consistent conclusions based on the same information.

• Assist in the management of product complaints by documenting grievances and compiling clinical evidence.

• After training, contribute to the evaluation of potential anomalies in the regulated-device release process.

⛳️ Requirements

• Minimum of 5 years of experience.

• Active RN license with at least 3 years of acute care experience, such as in ICU, emergency, or rapid response, alongside a strong understanding of sepsis and clinical deterioration; or equivalent healthcare experience with the capability to comprehend the clinical aspects of sepsis and clinical deterioration.

• Familiarity with EHR systems like Epic or Cerner, or experience in clinical informatics, clinical research, or clinical decision support.

• Exposure to SEP-1 or abstraction and quality reporting related to sepsis bundles.

• Awareness of medical device quality standards such as QMSR or ISO 13485, or a strong desire to acquire that knowledge.

• Proficiency in reading structured clinical data exports and spreadsheets.

• Authorization to work in the United States.

• Current, unrestricted work authorization in the United States.

• No visa sponsorship available.

• Sound judgment and the ability to reason from vital signs, lab results, medications, and documentation to arrive at a defensible conclusion.

• Clear written communication skills tailored to clinician and clinical informatics audiences.

• Capability to work autonomously in a developing process environment.

• Evidence of identifying and documenting process inefficiencies.

• Ability to quickly learn a technical product and analyze it accurately.

• Proficiency with AI tools and the judgment to verify their outputs.

• Comfort in a ticket-driven, data-intensive environment managing multiple concurrent cases.

• Genuine interest in understanding medical device quality and regulatory practices, including complaint management.

🏝️ Benefits

• Medical, Dental & Vision coverage through Anthem Blue Cross Blue Shield, including a HSA-eligible option, as well as dental and vision through Guardian/VSP.

• Bayesian covers the majority of your premium and a significant portion of dependents' coverage.

• Access to One Medical for same-day and 24/7 virtual primary care services.

• Company-funded life insurance, short-term disability, and long-term disability plans.

• 401(k) company retirement plan.

• Free mental health support through Spring Health.

• Additional wellness resources, including pet care benefits.

• Generous PTO that increases with tenure.

• Paid sick leave.

• Paid holidays.

• Occasional company-wide self-care days.

• Equity opportunities.

• Fully funded annual company retreat.

• Choice of Mac hardware.

• One-time stipend for home office setup.

• Ongoing reimbursement for internet and phone expenses.

• Remote work with synchronous hours from 11 AM to 5 PM ET (8 AM to 2 PM PT).