Nsight Health · 5 days ago
Clinical QA Specialist
United States
Full-time
Remote
Entry, Mid Level
$60K/yr - $70K/yr
2+ years expNsight Health is focused on ensuring quality in healthcare services, and they are seeking a Clinical QA Specialist. This role is responsible for auditing clinical calls and documentation to ensure patient safety and compliance, while also partnering with leadership for quality improvement initiatives.
Health CareHospitalMedical
Responsibilities
Conduct weekly audits of clinical calls and charts (minimum: 1 call + 15 charts per eligible rep; 3 calls and 45 charts per month)
Evaluate adherence to clinical action steps, patient education requirements, identity verification, and disclosure standards
Identify infractions and document findings for coaching, corrective action, and disciplinary processes as required
Ensure accurate information and proper call handling to protect patient safety
Validate prompt escalation of urgent clinical concerns
Enforce compliance with healthcare regulations and patient privacy requirements
Verify required disclosures and documentation standards
Partner with supervisors to review infractions and support coaching/corrective action
Provide actionable feedback to improve clinical quality, accuracy, and efficiency
Identify trends and contribute to targeted training plans
Leverage Authenticx (AI-powered call analysis) to measure script adherence, compliance, soft skills, and clinical KPIs
Support trend reporting and continuous quality improvement initiatives
Qualification
Required
Active RN or LPN/LVN license (multi-state preferred)
2+ years of clinical experience (telehealth, RPM/CCM, or ambulatory preferred)
Experience auditing clinical documentation and/or call interactions
Strong knowledge of clinical workflows, escalation protocols, and patient education
High attention to detail with excellent written documentation skills
Comfort working in QA systems and AI-assisted analytics tools
Preferred
Prior QA, utilization review, or quality improvement experience
RPM/CCM program familiarity
Experience with call center clinical operations
Familiarity with Authenticx or similar QA platforms
Company
Nsight Health
Nsight is the fastest-growing remote patient monitoring, chronic care management, and behavioral health integration company servicing thousands of healthcare providers nationwide.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$0.07M2024-02-14Seed· $0.07M
Leadership Team
Michael Ciullo
Founder & CEO
Tim Clark
Chief Technology Officer
Company data provided by crunchbase