honeydew - Clinical QA Specialist
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Requirements
• Nurse Practitioner (NP) or Physician Assistant (PA), licensed in any state • 5+ years of experience in a dermatology specific practice setting • Strong understanding of behavioral health clinical documentation standards. • Experience with clinical quality review, utilization review, compliance, or clinical auditing. • Excellent attention to detail and strong written communication skills. • Comfort working in a fast-paced, remote, and technology-driven environment. • Prior experience in a QA, compliance, or clinical operations role. • Familiarity with telehealth platforms. • Experience working with EHR systems and data-driven quality initiatives.
Responsibilities
• CLINICAL QUALITY REVIEW • Conduct regular audits of clinical documentation (e.g., intake assessments, treatment plans, progress notes, discharge summaries) • Ensure documentation meets internal clinical standards, payer requirements, and regulatory guidelines. • Monitor adherence to evidence-based practices and Honeydew clinical protocols. • QUALITY IMPROVEMENT & COMPLIANCE • Identify quality gaps, risks, and trends through audits and data review. • Collaborate with clinical leadership to develop and implement corrective action plans. • Support compliance with state, federal, and accreditation requirements (e.g., HIPAA, payer standards). • Assist with preparation for audits, accreditation reviews, and payer reviews as needed. • FEEDBACK & CLINICIAN SUPPORT • Partner with clinicians to support quality improvement through education • Contribute to clinician training materials and quality-related education initiatives. • REPORTING & COLLABORATION • Report directly to the Provider Operations Lead to track QA metrics and contribute to regular quality reports for leadership. • Collaborate cross-functionally with Clinical Operations, Compliance, and Product teams to improve workflows and systems. • Support the development and refinement of clinical policies, procedures, and best practices.
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