CrawlJobs Logo

Clinical Quality Improvement Advisor

innovage.com Logo

InnovAge

Location Icon

Location:
United States , Denver

Category Icon
Category:
Nursing

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

77400.00 - 96800.00 USD / Year
Save Job
Save Icon
Apply Position

Job Description:

The RN Clinical Quality Improvement Advisor ensures standardization of processes, quality in care and compliance in operational and clinical practice at the InnovAge Day Center.

Job Responsibility:

  • Ensures standardization of processes, quality in care and compliance in operational and clinical practice at the InnovAge Day Center
  • Supports the oversight for the provision of care and delivery of services per PACE regulations and performance goals set by the Quality Improvement Program and Quality Work Plan
  • Supports the Infection Control Program by tabulating data and investigating issues as needed
  • Acts in collaboration with the infection preventionist as a resource for infection and infestation control issues
  • Assists the Director of Quality in developing and maintaining clinical operational policies, procedures and protocols related to quality and compliance
  • Develops and maintains performance improvement projects based on the needs of the quality department as determined by quarterly quality performance measures and compliance audits while adhering to LEAN methodology standards
  • Develops and sustains Plan(s) of Correction that results from identified quality improvement initiatives, surveys and/or other regulatory body audits
  • Develops and implements audits to ensure consistent practice of current policies, procedures and protocols
  • Prepares for and actively participates in all surveys/monitoring audits and ensures that InnovAge and its affiliates are survey-ready
  • Supports and implements quality improvement in assigned areas and as needed
  • Performs pre-operational auditing and promotes smooth transitions from development to implementation
  • Works to integrate standard clinical practice(s) and documentation compliance throughout InnovAge and its affiliates
  • Reports on problem areas that fall outside of regulation, community or professional standards, and performs follow-through to see if issues have been addressed
  • Participates in CMS and State reporting and facilitates work groups within the PACE centers and regional leadership
  • Leads Root Cause Analysis activities to support process improvement activities as well as regulatory reporting
  • Prepares center-based teams and leadership for monthly and quarterly collaborative calls with state and CMS regulators
  • Collaborates with compliance team to support clinical quality oversight of community partners, including follow up on incidents and complaints
  • Facilitates and leads local and regional quality meetings in collaboration with PACE center staff and leadership
  • Participates in collaborative care meetings at PACE centers, including fall teams, wound care teams, Participant Council
  • Leads regional efforts related to participant satisfaction activities at the PACE center
  • Participates in PCMH education, readiness, and accreditation activities
  • Delegates quality activities to Quality Improvement Specialists according to Director of Quality
  • Provides support of quality contracted facilities oversight
  • Provides coverage for Director of Quality when needed

Requirements:

  • State Registered Nurses License
  • 3+ years health care experience with an emphasis in geriatrics
  • 3+ years nursing leadership with a background in quality
  • Current skill with auditing systems, follow-up for corrections and process improvement for healthcare areas
  • Current knowledge of standards of clinical nursing practice and integration with regulations along with broad knowledge base of health care problems for the frail and elderly
  • Working knowledge of project management, facilitation of work groups, quality improvement, and team meetings

Nice to have:

  • Bachelor’s degree in nursing from an accredited college/university
  • Certification as a Gerontological Nurse
  • Lean or Six Sigma
What we offer:
  • medical/dental/vision insurance
  • short and long-term disability
  • life insurance and AD&D
  • supplemental life insurance
  • flexible spending accounts
  • 401(k) savings
  • paid time off
  • company-paid holidays

Additional Information:

Job Posted:
January 21, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Icon
InnovAge - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Clinical Quality Improvement Advisor

Clinical Diversion Advisor

Bluesight is looking for a passionate and experienced Clinical Advisor - Control...
Location
Location
United States
Salary
Salary:
110000.00 - 145000.00 USD / Year
bluesight.com Logo
Bluesight
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 5+ years of experience as a hospital pharmacist
  • 3+ years of experience with hospital drug diversion programs
  • 3+ years of experience in training or onboarding customers on software or clinical tools
  • Proven ability to analyze and interpret clinical data to inform workflow or process improvements
  • Strong presentation, facilitation, and written communication skills
  • Experience with ControlCheck or similar healthcare technology preferred
  • You’re a strong communicator and facilitator who enjoys helping customers apply clinical and analytical insights to real-world challenges
  • You thrive at the intersection of healthcare, technology, and education
  • You’re organized, collaborative, and comfortable engaging with both hospital leadership and frontline users
  • You’re passionate about supporting better outcomes in patient safety and diversion prevention
Job Responsibility
Job Responsibility
  • Partner with customers during and post-implementation to ensure they are successfully leveraging ControlCheck to identify diversion trends and improve internal workflows
  • Attend customer meetings to review clinical workflows and analytics, enabling teams to interpret data, identify risks, and implement best practices for diversion prevention
  • Deliver targeted clinical training and consultation to deepen customer understanding of how Bluesight products integrate with their daily operations
  • Support top customers during Executive Business Reviews (EBRs) and other strategic discussions focused on optimizing diversion detection and prevention
  • Own all aspects of the Diversion Collective, including planning, execution, speaker coordination, and post-event engagement to build a thriving clinical user community
  • Collaborate with internal teams to align clinical insights with customer goals, product enhancements, and training resources
  • Maintain up-to-date clinical training materials and documentation to ensure consistent, high-quality customer education
  • Act as a trusted clinical advisor, representing the voice of the customer and driving continuous improvement in both training and product use
  • Provide backup support for Case Review & Triage (CRT) for legacy Protenus customers, maintaining cadence, ensuring adherence to SLAs, and proactively identifying and escalating potential risks
What we offer
What we offer
  • Competitive salary
  • Time off when you need it – unlimited vacation days!
  • Generous insurance coverage
  • 401k program with a company match
  • Fun, collaborative culture!
  • Fulltime
Read More
Arrow Right

Director of Clinical Services

Director of Clinical Services at Chaucer Hospital in Canterbury, part of Circle ...
Location
Location
United Kingdom , Canterbury
Salary
Salary:
74000.00 GBP / Year
circlehealthgroup.co.uk Logo
Circle Health Group
Expiration Date
February 08, 2026
Flip Icon
Requirements
Requirements
  • NMC or HCPC-registered healthcare professional with extensive senior leadership experience in a hospital setting
  • Demonstrated success in clinical governance, risk management, and quality improvement
  • Deep understanding of regulatory standards (CQC, NICE, NMC, HCPC, etc.) and national healthcare frameworks
  • Excellent leadership, communication, and change management skills
  • Proven ability to lead investigations, manage risk, and embed learning from incidents and audits
  • Master’s degree in Healthcare Leadership, Management, or a relevant clinical specialty
  • Experience in private healthcare or multi-specialty hospital operations
  • Familiarity with managing practising privileges and consultant engagement
  • Experience leading CQC inspection readiness and successful improvement programmes
Job Responsibility
Job Responsibility
  • Lead the clinical governance agenda to ensure compliance with all regulatory, legal, and professional standards, maintaining a minimum CQC rating of GOOD, while striving for OUTSTANDING
  • Provide visible leadership and clinical on-call support, acting as the senior advisor on all clinical matters within the hospital
  • Develop and implement strategies that align with national guidance (e.g. NICE) and reflect effective, efficient patient pathways
  • Ensure all measures are taken to safeguard the health, safety, and wellbeing of patients, maintaining a high-quality, safe clinical environment
  • Oversee investigations of incidents, near misses, complaints, and risks — ensuring lessons are learned and shared, and improvements are embedded through action planning
  • Lead the hospital’s clinical audit programme and ensure outcomes inform continuous quality improvement and policy adherence
  • Maintain and uphold professional standards in line with NMC, HCPC, GMC, and other regulatory bodies
  • Ensure safe staffing levels across all clinical areas, with appropriate skill mix and staff competency at all times
  • Lead hospital participation in internal and external audits, ensuring timely actions and adherence to best practice
  • Work collaboratively with senior management and consultants to optimise patient care, safety, and service efficiency
What we offer
What we offer
  • 25 days holiday per year + bank holidays, increasing to 30 days with service
  • Management Bonus Scheme
  • Private Pension Scheme
  • Private Healthcare Scheme for treatment at our hospitals, covering pre-existing medical conditions
  • Friends & Family Hospital Discounts
  • Family Friendly policies, including enhanced Maternity, Paternity & Adoption pay
  • Non-contributory life insurance
  • Staff engagement hub with access to discounts and extensive rewards and voluntary benefits
  • Access to resources, tools and services to support your wellbeing
  • Employee recognition programmes
  • Fulltime
Read More
Arrow Right

Medical Director of Revenue Integrity

The Physician Advisor is a key member of the healthcare organization’s leadershi...
Location
Location
United States , Cheyenne
Salary
Salary:
Not provided
cheyenneregional.org Logo
Cheyenne Regional Medical Center
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Hold and maintain or able to obtain an unrestricted medical license in the state of Wyoming
  • Possess or acquires a solid foundation, knowledge, and/or experience in the areas of utilization management, quality improvement, and patient safety
  • Familiarity with InterQual and MCG is preferred
  • Strong understanding of Medicare Two Midnight Rules
  • Member of the American College of Physician Advisors (ACPA)
  • Board Certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) or ACPA is required within 6 months of hire
  • Ability to build rapport with medical staff and hospital leadership to obtain the buy-in and collaboration necessary to achieve desired outcomes
  • Prefer Internal Medicine specialist with a background in Hospital Medicine
  • Maintain active medical practice in their specialty (Can accommodate clinical time up to 0.15 FTE in the specialty (depending on availability))
  • Demonstrates behavior that supports the organization’s mission
Job Responsibility
Job Responsibility
  • Provide functional leadership for the revenue integrity team Including CDI, Coding and Utilization Review
  • Responsible for oversight revenue integrity optimization
  • Lead value-based care initiatives for the organization
  • Chairs the Utilization Management Team
  • Review medical records of patients identified by case managers or as requested by the healthcare team including physicians to perform quality and utilization oversight
  • Perform medical necessity reviews including initial level of care, secondary reviews, and continued stay reviews
  • Conduct Peer to Peer discussion with Payor Medical Directors when requested
  • Provide regular feedback to physicians and all other stake holders regarding level of care, length of stay, and potential quality issues
  • Provide necessary clinical education to UR Case Managers regarding clinical criteria and appropriate use of screening tools
  • Educates individual hospital staff physicians about ICD-10 and DRG coding guidelines (e.g., co-morbid conditions, outpatient vs. inpatient) and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual patient records
What we offer
What we offer
  • 403(b) with 4% employer match
  • ANCC Magnet Hospital
  • $10,000 relocation bonus
  • $3,500 in CMEs
  • 216 hours of PTO
  • Robust Benefits Package
Read More
Arrow Right
New

Bupa health clinic gp

Are you an experienced General Practitioner with a passion for empowering patien...
Location
Location
United Kingdom , Maidstone
Salary
Salary:
Not provided
kims.org.uk Logo
KIMS Hospital
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • GMC registered with a licence to practice and on the GP register
  • Experienced in general practice with excellent clinical decision-making skills
  • Excellent communicator
  • Passionate about patient focused, evidence-based healthcare
  • Able to demonstrate clinical excellence, and professionalism across the role
Job Responsibility
Job Responsibility
  • Deliver health assessments and private GP consultations
  • Undertake clinical work in accordance with the standards of good clinical practice
  • Participate in an annual clinical review and competency assessments within Bupa
  • Work with the Lead Physician on quality improvement activities including audits
  • Provide clinical advice and guidance to colleagues, which may include health advisors and administrative staff
What we offer
What we offer
  • Competitive Salary
  • Free Staff Parking
  • Pension Scheme
  • Private Health Insurance
  • 33 Days annual leave (including bank holidays) plus extra time off for your birthday
  • Life Assurance
  • Annual Flu Vaccination
  • Free Eye Test
  • Flexible working and annualised hours contracts are available
  • Relocation packages available
  • Parttime
Read More
Arrow Right
New

Consultant Psychiatrist

We are seeking an experienced and dedicated Consultant Psychiatrist to join a pr...
Location
Location
New Zealand
Salary
Salary:
100870.00 - 111441.00 GBP / Year
remediumpartners.com Logo
Remedium Partners
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Fellowship of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP) or equivalent international qualification
  • Eligible for vocational registration in Psychiatry with the Medical Council of New Zealand (MCNZ)
  • Valid driver’s licence for New Zealand
  • Broad clinical experience across General Adult and/or Older Adult Psychiatry
  • Demonstrated ability to work effectively as part of a multidisciplinary team
  • Commitment to providing high-quality, patient-centred, and culturally safe care
  • Strong communication, leadership, and interpersonal skills
  • Understanding of the principles of clinical governance, quality improvement, and patient safety
Job Responsibility
Job Responsibility
  • Deliver comprehensive psychiatric assessment, diagnosis, and management for patients within the community and inpatient settings
  • Provide clinical leadership and expertise to the multidisciplinary team, including registrars, nurses, psychologists, and social workers
  • Participate in the on-call rota, supported by an experienced team of clinicians and cultural advisors
  • Contribute to service development, with a focus on co-design and addressing health inequalities for M?ori and underserved populations
  • Collaborate closely with primary care and community partners to ensure continuity of care and effective treatment pathways
  • Supervise and mentor junior medical staff, contributing to their professional development
  • Engage in clinical governance, audit, and research activities to support continuous service improvement
  • Uphold the principles of Te Tiriti o Waitangi (Treaty of Waitangi) in all aspects of clinical practice and service delivery
  • Fulltime
Read More
Arrow Right
New

Chief Quality & Risk Officer

Chief Quality & Risk Officer (CQRO) to lead with impact at the strategic level. ...
Location
Location
Salary
Salary:
Not provided
scss.org.au Logo
Southern Cross Support Services
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Executive-level experience leading quality, risk, safeguarding or compliance functions
  • Demonstrated experience across NDIS, child safety/reportable conduct and aged care
  • Strong track record in audit leadership, regulator engagement and serious incident management
  • Confidence operating as a Board advisor on risk, quality and governance
  • A calm, values-driven leadership style and ability to lead through complexity, growth and change
  • Capacity and flexibility to travel nationally as required
  • Bachelor degree in Health, Human Services, Risk, Governance, Law or related discipline
  • Relevant professional certifications (highly regarded)
  • Ability to meet all required screening and compliance checks
Job Responsibility
Job Responsibility
  • Lead and continuously enhance Kanda’s enterprise Quality, Safeguarding and Risk frameworks
  • Own and steward the organisation’s Enterprise Risk Management Framework, Risk Appetite and strategic risk registers
  • Provide executive oversight of compliance with: NDIS Practice Standards, Child Safe Standards & Reportable Conduct Schemes, Aged Care Quality Standards, Clinical and corporate governance requirements
  • Lead regulator engagement, serious incidents and high-risk matter responses
  • Oversee audit, accreditation and remediation programs across all business units
  • Deliver high-quality, data-driven reporting to the Board and its sub-committees, supporting informed governance and assurance
  • Build and lead a high-performing national Quality & Risk function
  • Champion a culture of ethical practice, safeguarding and continuous improvement
What we offer
What we offer
  • Executive role with genuine influence at Board and enterprise level
  • Purpose-driven organisation delivering impact at scale
  • Opportunity to shape safeguarding, quality and risk across a diverse national footprint
  • Values-led culture grounded in integrity, candour and accountability
Read More
Arrow Right
New

Chief Quality & Risk Officer

Chief Quality & Risk Officer (CQRO) to lead with impact at the strategic level. ...
Location
Location
Salary
Salary:
Not provided
scss.org.au Logo
Southern Cross Support Services
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Executive-level experience leading quality, risk, safeguarding or compliance functions
  • Demonstrated experience across NDIS, child safety/reportable conduct and aged care
  • Strong track record in audit leadership, regulator engagement and serious incident management
  • Confidence operating as a Board advisor on risk, quality and governance
  • A calm, values-driven leadership style and ability to lead through complexity, growth and change
  • Capacity and flexibility to travel nationally as required
  • Bachelor degree in Health, Human Services, Risk, Governance, Law or related discipline
  • Relevant professional certifications (highly regarded)
  • Ability to meet all required screening and compliance checks
Job Responsibility
Job Responsibility
  • Lead and continuously enhance Kanda’s enterprise Quality, Safeguarding and Risk frameworks
  • Own and steward the organisation’s Enterprise Risk Management Framework, Risk Appetite and strategic risk registers
  • Provide executive oversight of compliance with: NDIS Practice Standards, Child Safe Standards & Reportable Conduct Schemes, Aged Care Quality Standards, Clinical and corporate governance requirements
  • Lead regulator engagement, serious incidents and high-risk matter responses
  • Oversee audit, accreditation and remediation programs across all business units
  • Deliver high-quality, data-driven reporting to the Board and its sub-committees, supporting informed governance and assurance
  • Build and lead a high-performing national Quality & Risk function
  • Champion a culture of ethical practice, safeguarding and continuous improvement
What we offer
What we offer
  • Executive role with genuine influence at Board and enterprise level
  • Purpose-driven organisation delivering impact at scale
  • Opportunity to shape safeguarding, quality and risk across a diverse national footprint
  • Values-led culture grounded in integrity, candour and accountability
Read More
Arrow Right

Physician Advisor

The Physician Advisor (PA) serves as a clinical resource to the medical staff an...
Location
Location
United States , Boynton Beach
Salary
Salary:
Not provided
baptisthealth.net Logo
Baptist Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Degrees: Doctor of Medicine / DO
  • Licenses & Certifications: ABQAURP Physician Advisor Sub-Specialty Certification
  • Additional Qualifications: Certification as Physician Advisor by a national physician advisor organization or American Board of Quality Assurance and Utilization Review Physicians [ABQAURP] certification or similar must be obtained within one year of hire
  • A minimum of 3 years work experience as practicing physician, with experience performing case reviews, and experience using MCG and/or Interqual criteria
  • Knowledge on application of CMS 2 Midnight Rule, and Condition of Participation, and inpatient billing requirements
  • Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines
  • Ability to communicate effectively in both oral and written form
  • Ability to handle difficult and stressful situations with critical thinking and professional composure
  • Ability to understand and follow instructions
  • Ability to exercise sound and independent judgment
Job Responsibility
Job Responsibility
  • Serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues
  • Addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues
  • In collaboration with admitting physician, healthcare team, and case management, proactively manages cases at the point of entry and through the hospital stay, to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality
  • Ensures compliance with CMS for appropriate billing
  • Conducts post-discharge reviews related to payer audits
  • Promotes understanding and cooperation between the medical staff through communication, collaboration and education
  • Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care
What we offer
What we offer
  • Relocation assistance available
  • Fulltime
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy