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CINQCARE · 1 month ago

Clinical Quality Auditor

Washington, DC

Full-time

Hybrid

Senior Level

$90K/yr - $110K/yr

5+ years exp

CINQCARE is a provider-led, community-based health and care partner dedicated to improving health outcomes in high-needs communities. The Clinical Quality Auditor is responsible for conducting audits of patient records and clinical procedures to ensure compliance with standards, providing feedback to clinical teams, and developing audit tools to enhance quality and compliance.

CommunitiesHealth CareHome Health CareMedical

Responsibilities

Conduct regular audits of patient records, clinical procedures, and treatment plans to ensure compliance with internal policies, regulatory standards, and best practice guidelines

Review clinical documentation for accuracy, completeness, and consistency, identifying any discrepancies or non-compliance issues

Evaluate patient care processes to identify areas of improvement and ensure adherence to clinical protocols, evidence-based practices, and regulatory requirements

Provide comprehensive feedback to clinical teams and leadership on audit results, offering constructive recommendations for improving quality and compliance

Maintain accurate and up-to-date records of audits, corrective actions, and follow-up outcomes to track progress and ensure sustained compliance

Develop and update clinical audit tools to meet the needs of the various lines of business

Travel to multiple states for meetings and audits will be required

Leadership: The Clinical Quality Auditor will lead in defining and executing strategies and solutions to create business value in auditing, including building a team to design, develop, and execute those strategies and solutions to deliver desired outcomes

Strategy: The Clinical Quality Auditor will establish the business strategy and roadmap: (1) improve outcomes for CINQ Care Inc. members, and (2) enhance the efficacy of other CINQ Care Inc. business divisions

Collaboration: The Clinical Quality Auditor will ensure that audit capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE Inc

Knowledge: The Clinical Quality Auditor will provide subject matter expertise in the auditing solutions, including determining and recommended approaches for audits, solution deployment and performance evaluation

Culture: The Clinical Quality Auditor is accountable for creating a productive, collaborative, safe and inclusive work environment for the auditing team and as part of the larger Company

Qualification

Auditing experienceHealthcare industry knowledgeRNLPN licenseMicrosoft Office proficiencyRelationship managementJudgementCommunication skillsTeam player