At Headway, we aim to support our providers in offering high-quality, safe and effective clinical care. As Clinical Quality Lead, you will be in charge of our Ongoing Professional Practice Evaluation Program and implement clinical quality monitoring initiatives. You will work cross functionally the Operations Compliance Teams, Growth, Payer, Engineering and Product teams, and other teams involved in building a clinical quality framework and managing the 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 clinician – have 8+ years of post-graduate experience as an Independently Licensed Therapist (LPC, LCSW, PhD, or PsyD) with experience both as a practicing provider as well as operating in a fast-paced, high growth business.
- 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 a collaborator – eager and adept at working in concert with product, operations, and sales teams to infuse clinical strategy across the org.
- 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 are a First Principles thinker: You need to be able to decompose hairy problems into concise strategy. To reduce the business into an equation and the equation into descending AORs
- You are a builder: Someone who has seen development from the beginning is able to build from the ground up.
- You are a conductor: Someone who keeps the trains running on time, understands the value of setting and maintaining clear, falsifiable metrics. Implements the right operating mechanisms to hold people accountable, instill ownership, especially as the business and organization scales
- You are a collaborator: Someone who sets the bar for exceptional collaboration across disciplines + partner functions at the company to lead through influence; Communicates problems, visions, and solutions with exemplary clarity in both verbal and written form; Operates with a HW-first mentality
- You have experience supervising clinicians or large teams of providers, with an emphasis on performance management
Role responsibilities:
Clinical Quality Strategy
- Strategize and design Headway’s clinical protocols, quality measures and processes for evaluation and implementation to uphold the safety, efficiency and effectiveness domains of Healthcare Quality
- Improve clinical outcomes scores through maintaining documentation within the standard of care throughout the provider network
- Support risk management through analysis of clinical escalations not otherwise resolved by the Risk team
- Program Development & Scaling
- Directly responsible for developing and scaling our Ongoing Professional Practice Evaluation program and Focused Professional Evaluation Program
- Engage regularly with Product team to ensure all iterations of EHR meet industry clinical standards (Intake note, progress note, treatment plan)
- Build a clinically compliant rubric to use as a guide for chart reviews
- Lead process of reviewing non-compliant charts and providing feedback to clinicians
- Supervise clinicians who are participating in conducting peer chart reviews
- Work with Product Dev to create a more automated Chart Review process
- Train Peer reviewers on chart review process
- Create remediation plan for clinicians with ongoing documentation concerns
- Maintain chart review documents in an organized, encrypted, searchable file
- Maintain an organized list of clinicians who have completed the chart review process
- Chart Screening & Monitoring
- Conduct routine screening and monitoring of charts to assess clinical competence
- Perform in-depth monitoring for providers falling below established standards of care and demonstrate ability to improve provider clinical care through rehabilitation program
- Create in-product feedback systems that can be scaled and automated
Documentation Evaluation
- Assess provider documentation meeting standards or care for safety, efficiency, and effectiveness of treatment based on established rubrics and guidelines
- Review clinical decision-making processes and the use of evidence-based treatment modalities.
Workflow Optimization
- Devise optimal workflows for the seamless collection, review, and feedback processes for providers
Clinical Expertise & Leadership
- Guide best practices and evidence-based care as a clinical authority within Headway
Clinical Oversight and team building of Clinical Associates, Consultants, and/or Clinical LeadsEnsure clinical standards and guidelines are consistently met within the team by overseeing clinical associates.
- Train and supervise Clinical Associates, Consultants, and Leads
- Supervise Peer Support Clinicians
Leadership & Collaboration
- Work collaboratively with cross functional teams and serve as the liaison between the clinical team and product, design, data analysis, and operations when appropriate or directed by the Medical Director.
- Work closely with Product Team to develop for semi-automation of program for expansion of clinical quality monitoring throughout the network
- Work with CX team, Compliance, Product Dev, and Head of Clinical Strategy to build a effective and efficient Chart Review workflow and strategy
- Work with Head of Clinical Strategy to build a clinician support function
- Partner with CX, Ops, Compliance and Product, and Engineering teams to ensure the delivery of our behavioral health services are reliable, measurable and of high quality
- Assist in the training, continuing education, and development of medical providers at Headway
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)
- Group A: $180,000
- Group B: $162,000
- Group C: $144,000
- Examples of cities located in each Compensation Grouping:
- 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
- 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
