Clinical Quality Specialist, Anywhere

JR19460 Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives. Summary of Position The Clinical Quality Specialist is a licensed vocational nurse (LVN) or licensed practical nurse (LPN) position that focuses on supporting Teladoc’s robust Clinical Operations Network Quality program. This includes review, research and reporting member complaints and inquiries, reviewing provider consults for standards/clinical appropriateness and following processes and policies for quality monitoring of care delivery and provider training. This position will be specifically dedicated to our focused review efforts centered around our provider-member interactions. Essential Duties and Responsibilities • Performs focused clinical reviews centered around quality-of-care standards; thorough documentation skills, attention to detail, and critical thinking is a daily expectation in this role. • Documentation of clinical reviews within incident management system (RL Datix), ensuring that all processes are followed, appropriate escalation and follow-up is completed. • Ability to manage high-volume of reviews, prioritizing tasks and responsibilities effectively. • Contributes to the day-to-day deliverables of RL Datix requests (file clean-up, reports requests, possible assistance with file triage) • Support clinical quality reporting and process needs associated with RL Datix (Intermediate to Advanced level of performance in Microsoft Excel and Visio) • Assist in maintaining monthly department dashboard; collecting and aggregating data, producing dashboard graphs/charts in an ongoing, recurring cadence • Provide data analysis and trends based on report outputs; work with department peers and leaders to identify opportunities based on insights • Recommend process improvements and efficiencies to continuously improve the department (Lean Six Sigma Yellow Belt, or higher, certification preferred) • Works to ensure internal stakeholders understand applicable standards, policies and procedures, and efforts needed to maintain compliance. • Generates process reporting and performance statistics of quality-of-care reviews. Monitor, track, and trend through incident reporting and facilitate appropriate provider reviews. • Perform other duties as assigned, including data entry, tracking and process administration tasks as needed. Required Qualifications • Associates Degree • LVN or LPN license require • Minimum 2 years of working experience as an LVN, or LPN required • Strong medical writing/documentation skills required • Experience with project management tools, spreadsheets, tracking deliverables and issues, meeting deadlines • Excellent written and verbal communication, and presentation skills • Ability to manage multiple projects simultaneously • Attention to detail • Ability to understand health data and prepare reports both manually in Excel, and from an electronic health record (EHR) • Works well under pressure with the ability to learn quickly and adapt to change • Must have a high level of reason and data analytical skills with ability to be objective in reviewing all types of business and systems data • Comfort with change, uncertainty, and proceeding without a previous roadmap • Comfortable working independently and communicating through multiple levels in the organization • Ability to set up project teams, necessary work streams and executive steering committees Preferred Qualifications • Certified Professional in Healthcare Quality (CPHQ) preferred • 1 year in a Healthcare Quality experience preferred • Quality Management, Patient Safety, and/or Risk Management experience preferred • Previous clinical chart review experience preferred • Familiar with drafting and implementing policies and procedures The base salary range for this position is $65,000 - $70,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2025. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions. Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. Why Join Teladoc Health? A New Category in Healthcare:  Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives. Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care, at every stage in a person’s health journey. Make an Impact: In more than 175 countries and ranked Best in KLAS for Virtual Care Platforms in 2020, Teladoc Health leverages more than a decade of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals. Focus on PEOPLE:  Teladoc Health has been recognized as a top employer by numerous media and professional organizations. Talented, passionate individuals make the difference, in this fast-moving, collaborative, and inspiring environment. Diversity and Inclusion:  At Teladoc Health we believe that personal and professional diversity is the key to innovation. We hire based solely on your strengths and qualifications, and the way in which those strengths can directly contribute to your success in your new position. Growth and Innovation:  We’ve already made healthcare yet remain on the threshold of very big things. Come grow with us and support our mission to make a tangible difference in the lives of our Members. As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status or pregnancy. Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link. Apply tot his job Apply To this Job