Senior Clinical Informaticist

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

📋 Description

• Take ownership of clinical annotation by creating labeling schemas and version-controlled guidelines for clinical notes, OASIS items, diagnoses, medications, wounds, functional status, and other concepts related to home health and hospice.

• Directly label and adjudicate data, collaborate with in-house clinical resources, resolve disagreements among annotators, make final clinical decisions on edge cases, and develop and sustain gold-standard datasets.

• Collaborate with MLOps and data science teams to assess and track model performance and address any drift in key accuracy metrics.

• Measure inter-annotator agreement with metrics like Cohen's or Fleiss' kappa; conduct calibration sessions, audit samples, and enhance annotation guidelines and workflows.

• Assess model predictions and LLM-generated text for accuracy, completeness, hallucination, bias, and clinical safety.

• Create evaluation rubrics and assist in defining clinical criteria for the release of traditional ML and LLM-based models.

• Convert home health and hospice workflows into structured data, rules, and features.

• Map clinical concepts to ICD-10-CM, SNOMED CT, LOINC, RxNorm, OASIS, and hospice HOPE data elements; facilitate EHR integration using HL7 and FHIR.

• Establish clinical data quality checks, document data provenance and dataset versions, and implement HIPAA, minimum necessary, and de-identification practices.

• Contribute to AI capability development by illustrating how skilled clinicians accomplish similar tasks.

• Collaborate with product and engineering teams on clinical requirements, pre-release validation, post-release model monitoring, and clinician feedback loops.

• Recruit, train, and mentor clinical annotators and junior informaticists as the program expands.

⛳️ Requirements

• An active, unrestricted clinical license as an RN (BSN or equivalent), Physical Therapist, Occupational Therapist, or Speech-Language Pathologist.

• A minimum of five years of clinical experience, with significant exposure to home health and/or hospice.

• At least four years of experience in clinical informatics, including roles in informatics nursing, clinical analysis, clinical data abstraction, or quality assurance.

• Core competencies in informatics related to clinical workflow analysis, data governance and quality, system lifecycle, and clinical decision support or quality measure logic.

• A working knowledge of traditional supervised and unsupervised machine learning and LLM-based models.

• Hands-on expertise with OASIS, including the current OASIS-E data set and guidance manual.

• Familiarity with ICD-10-CM coding and home health payment and quality programs, such as PDGM, HHVBP, and Home Health Quality Reporting.

• Experience in clinical data labeling, annotation, or chart abstraction.

• Knowledge of SNOMED CT, LOINC, and RxNorm.

• Understanding of HIPAA and PHI de-identification methods, including Safe Harbor and Expert Determination.

• Ability to exercise precise, consistent judgment and effectively communicate clinical reasoning to non-clinicians.

• Preferred: Informatics certification, such as ANCC Informatics Nursing, HIMSS CPHIMS or CAHIMS, AMIA ACHIP, or AHIMA CHDA.

• Preferred: A Master's degree in nursing informatics, health informatics, or data science.

• Preferred: Home health certification, such as COS-C, HCS-D, or HCS-O.

• Preferred: Experience in evaluating LLM output, developing evaluation rubrics, or conducting clinical red teaming.

• Preferred: Familiarity with responsible AI practices in health care.

• Preferred: Experience with annotation tools such as Label Studio, Prodigy, or Labelbox, along with basic SQL or Python skills.

• Preferred: Familiarity with HomeCare HomeBase or other home health or hospice EHR systems.

• Preferred: Understanding of hospice documentation and quality reporting, including HOPE, HQRP, and CAHPS Hospice.

• Eligibility to work in the United States will be verified through E-Verify if selected.

🏝️ Benefits

• Options for remote or hybrid work (Jacksonville/Nashville).

• Reasonable accommodations available for individuals with disabilities.

• Commitment to equal opportunity employment.