Backed by OCA Ventures.
About the role
Conduct internal chart audits of Lead Care Managers across contracted health plans, applying each plan’s own audit criteria alongside Vynca internal quality standards. Maintain audit cadence in accordance with the ECM Internal Audit Cadence Stanard Operation Procedure, including elevated cadence for new hires and staff on performance improvement plans. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Bachelor’s degree required. Master’s in Nursing, Social Work, Public Health, or Health Care Administration preferred
- Active, unrestricted California clinical licensure required (RN, LCSW, LMFT, LPCC, or equivalent), or the ability to obtain California licensure within the first six months of employment
- 5+ years of experience in care management, case management, or direct clinical practice
- 1+ years of experience in quality auditing, chart review, utilization review, or quality assurance and performance improvement (QAPI) activities
- Previous experience with documentation integrity, including review of clinical documentation for accuracy, completeness, timeliness, and defensibility under audit
- Willing and able to work Monday through Friday 8:30am to 5pm Pacific Time
More about this role
Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.
We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.
At Vynca, our mission is to provide comprehensive care for more quality days at home.
About the Job
The Clinical Quality Specialist for the Enhanced Care Management (ECM) program is a newly created role supporting all aspects of ECM quality. This position conducts internal chart audits across Vynca’s contracted health plans, provides clinical oversight of care management documentation, and translates audit findings into operational and educational improvement in partnership with ECM Operations and the Training and Development team. The role requires active clinical licensure and combines independent chart review with cross-functional collaboration, and flexes into training delivery as program...
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