Clinical Quality Lead, Nurse Practitioner

About The Role

At Headway, we aim to support our providers in offering high-quality, safe and effective clinical care. As Clinical Quality Lead, Nurse Practitioner, you will support our Ongoing Professional Practice Evaluation Program and be responsible for supporting the clinical quality review processes, implementing quality improvement initiatives, and promoting a culture of continuous improvement. You will work cross functionally with the Operations Compliance Teams, Growth, Payer, Engineering and Product teams, and other teams involved in building a clinical quality framework and managing chart review workflows. This role requires a high level of multi-tasking in a fast paced, virtual environment. 

You’ll be great for this role if:

• You are a current PMHNP licensure – you have 5+ years as a psychiatric nurse practitioner as well as experience operating in a fast-paced, high growth business. 
• You have extensive knowledge of evidence based psychiatric care standards and a proven ability to translate that knowledge to improve care.  
• You have extensive experience completing quality chart reviews and audits for healthcare delivery organizations and have trained others on how to document to meet standard of clinical care regulations
• You are a thought leader –  with demonstrated passion for reimagining how behavioral health quality is defined, measured, and operationalized. This likely means you’ve worked in traditional healthcare organizations, public health systems, and / or health care startups.
• You are an expert communicator and educator - with significant experience in conveying information to large and diverse groups of individuals. You have experience creating clinical quality and training resources and opportunities. 
• You are an innovative and strategic thinker with a passion for improving behavioral health care and clinical quality.
• You have experience supervising clinicians or large teams of providers, with an emphasis on performance management

Role responsibilities:

Clinical Quality Improvement:

• Support refinement of Headway’s clinical protocols, quality measures and processes to uphold evidence based safety, efficiency, and effectiveness domains of Healthcare Quality
• Conduct comprehensive reviews and analyses of clinical data, documentation, and performance metrics to assess the quality and effectiveness of patient care delivery.
• Conduct routine screening and monitoring of charts to assess for gaps in evidence based practice 
• Review clinical decision-making processes and the use of evidence-based treatment modalities
• Perform in-depth performance improvement planning for providers falling below established standards of care and demonstrate ability to improve clinical care through clinician support program
• Support risk management through analysis of clinical escalations not otherwise resolved by the risk team

Program Development & Scaling 

• Support developing and scaling our Ongoing Professional Practice Evaluation program and Focused Professional Evaluation Program
• Develop and maintain performance measurement systems to track key quality indicators and outcomes. Establish benchmarks, targets, and goals for clinical quality improvement and monitor progress towards achievement.
• Review and support remediation plan for clinicians with ongoing documentation concerns
• Maintain documents related to chart review in an organized, encrypted, searchable file with highest standards of privacy and confidentiality
• Work cross functionally to ensure chart review process and EHR meet industry clinical standards and recommend ongoing process quality improvements
• Assist in program development and implementation for training, continuing education, and development of medical providers at Headway
• Devise optimal workflows for the seamless collection, review, and feedback processes for providers
• Recommend in-product feedback improvements that can be scaled and automated to support clinical quality
  

Policy Development and Compliance

• Collaboratively develop, update, and enforce clinical quality policies, procedures, and protocols in accordance with industry standards, regulatory requirements, and best practices. Ensure compliance with relevant regulations and accreditation standards.

Collaboration and Communication:

• Collaborate with interdisciplinary teams, including clinician and cross functional stakeholders, to align quality improvement efforts with organizational goals and priorities. Communicate effectively with stakeholders to ensure buy-in and support for quality initiatives.

Compensation and Benefits:

• Salary information is based on a single salary target per role and is differentiated based on geographic location (Group A, B, or C) and education level (NP)
  • Group A = NYC, SF/Bay Area, LA Area, Seattle, Boston, Austin, and San Diego
  • Group B = Chicago, Miami, Denver, Washington DC, Philadelphia, Atlanta, Minneapolis, Nashville, Sacramento, Phoenix, and Portland
  • Group C = All remaining cities 
• Group A: $170,000 
• Group B: $153,000 
• Group C: $136,000
• Examples of cities located in each Compensation Grouping:

[To be included if role is bonus eligible][Other compensation includes: discretionary bonuses and/or commission. Commission payments are monthly.]

• Benefits offered include:
• Equity Compensation
• Medical, Dental, and Vision coverage
• HSA / FSA
• 401K
• Work-from-Home Stipend
• Therapy Reimbursement
• 16-week parental leave for eligible employees
• Carrot Fertility annual reimbursement and membership
• 13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
• Flexible PTO
• Employee Assistance Program (EAP)
• Training and professional development