The Cadence Health team seeks a Clinical Quality Manager to play a critical role in enhancing the patient experience and ensuring the highest standards of clinical quality. This role leads audit activities, monitors documentation accuracy, supports clinician performance, and collaborates cross-functionally to uphold Cadence’s commitment to safe, reliable, exceptional care.

This role operates during core business hours and may require occasional flexibility to support audits, coaching, and operational needs.

Responsibilities

Core Responsibilities

• Conduct routine and targeted audits of clinical documentation, patient communication, workflow adherence, and triage/escalation decisions.
• Evaluate clinical interactions to ensure alignment with Cadence protocols, quality standards, and regulatory expectations.
• Provide timely, detailed, and supportive feedback to clinicians based on audit outcomes.
• Maintain precise, HIPAA-compliant audit notes in accordance with Cadence processes.
• Identify trends, performance gaps, and opportunities for improvement using audit insights and operational data.
• Coordinate with the Compliance team on documentation audits, time tracking QA, and adherence to clinical and regulatory standards.
• Support Compliance in quality assurance processes, including periodic chart reviews, identification of adverse outcomes, and preparation for internal or external audits.
• Flag potential compliance risks to the Compliance team and assist in implementing corrective and preventive actions where appropriate.
• Partner with Training & Education to update onboarding materials, competencies, and ongoing clinical education content.
• Collaborate with clinical leadership on performance improvement plans and coaching frameworks.
• Participate in root-cause analyses, safety reviews, and corrective action initiatives.
• Work cross-functionally with Product, Operations, and Engineering to provide clinical perspective on workflow optimization and tooling enhancements.
• Demonstrate consistent performance, accountability, and professionalism in a fast-paced, technology-enabled care environment.

Qualifications

Required

• Active RN license (compact licensure preferred).
• 7+ years of clinical experience in acute care, ambulatory care, chronic disease management, or telehealth.
• 3+ years of experience in clinical quality, auditing, utilization review, compliance, or similar clinical oversight roles.
• Proven ability to evaluate clinical documentation and workflow adherence against established standards.
• Experience maintaining HIPAA-compliant environments and protecting patient confidentiality.
• Highly skilled in written, verbal, and interpersonal communication with the ability to deliver constructive feedback.
• Strong track record of working independently, managing time effectively, and delivering high-quality work with minimal supervision.
• Reliable, HIPAA-compliant home office with stable high-speed internet.