Clinical Quality Lead
Hazel Health & Little Otter have joined forces to deliver comprehensive services to the children and families we serve, learn more here.
By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to physical and mental healthcare. Today, Hazel's diverse team of licensed providers deliver therapy and medical services virtually (in school or at home) to over four million K-12 students — regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life.
Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will
- Make an Impact: Work with a team that is increasing equitable access to quality health care experiences for students and their families.
- Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise.
- Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference.
Check us out at Hazel Health Careers.
The Role:
To ensure that our care team is providing high-quality care, delivered in accordance with best practice and agency policy, we are looking for a Clinical Quality Specialist to oversee day to day quality inputs for Hazel’s therapists. The Specialist will partner closely with the Clinical and Operations teams to monitor care quality at scale. This individual will work to refine and improve quality metrics that relate to clinical care, and ensure that management has necessary information regarding the performance of clinicians under their supervision, partnering closely in provider performance management. This role supports the advancement of measurement-based care, data–informed quality improvement, and provider excellence.
Conduct chart reviews and payer audits (30%)
- Review clinical notes and individual clinician metrics to evaluate quality of care as well as adherence to operational policies and procedures for all clinicians, in order to ensure that care is effective, safe, and delivered according to agency policies.
- Identify training needs through auditing activities and work collaboratively with provider learning and enablement to build support resources and fill training gaps.
- Ensure that Director of Care Quality Assurance has visibility into performance issues, training needs, and systemic improvements which may be necessary to ensure that clinicians are able to successfully and effectively provide care
- Compile data and documentation for payer audits
Review and respond to incident reports (15%)
- Review incident reports, determine next steps and escalation paths including communication with providers, clients and/or partners
- Refine and improve upon incident reporting processes
Provide QA feedback to clinical leadership; support managers in providing feedback to clinicians (10%)
- Share relevant metrics to clinical team leadership and managers regarding individual and team performance
- Support feedback delivery and performance management processes, including performance improvement plans
Monitor quality metrics (20%)
- Support Director of Care Quality to ensure that clinical team QA metrics accurately and comprehensively measure performance
- Identify provider quality issues and work closely with management team to address quality issues
Support quality projects (15%)
- Support cross functional collaboration efforts to inform quality processes and scaling
- Support Director of Quality to optimize quality review process, in order to ensure proper depth and breadth of review to allow for good visibility into clinical performance
Direct care (10%)
- Provides high-quality, telehealth services in a variety of states, as needed.
What you’ve accomplished:
Skills and Qualities
- Excellent interpersonal and relationship building skills
- Strong verbal and written communication skills
- Highly organized with excellent, detail-oriented project management skills
- Demonstrated ability to work collaboratively
- Willingness to integrate AI into your workflows and processes
- Strong clinical competence in Measurement Based Care and other evidence based practices (CBT, DBT, PCIT, CPP, TF-CBT, ACT, Mindfulness, etc.),
- Dedication to culturally responsive care
- Comfort with research design and basic understanding of statistics
- Demonstrated familiarity, comfort, and confidence with technology - various applications, tech tools, Google Suite, especially GoogleSheets, video conferencing, EMR, etc.
- Commitment to utilizing data to measure progress in clinical care
- Passionate about embracing, seeking out, and providing clear, actionable, constructive feedback
- Comfortable in a fast-paced environment subject to ambiguity, with little direction
Qualifications and Experience
- Master’s or doctoral degree in psychology, Marriage & Family Therapy, Counseling, or Social Work
- A clinical license to practice in good standing
- Minimum 5 years experience providing psychotherapy to individuals, couples or families
- Experience working with children in a virtual MH setting
- Experience with quality review of clinical documentation and development of audit and evaluation processes
- Experience building scalable quality monitoring systems
- Experience in performance management and provider feedback related to virtual care delivery with licensed clinicians
Strongly Preferred
- Experience with payer audits
- Experience using metrics dashboards and interpreting data
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