What We Strive For 

Strive Health is built for purpose — to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive’s model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from chronic kidney disease through end-stage kidney disease, leveraging comparative and predictive data and analytics to identify at-risk patients. Strive Health’s interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top talent in the healthcare community and set a new standard for how kidney care should be done. 

Why We’re Worth the Application 

  • We Strive for excellence and Strive has been recognized with six Best Place to Work awards, including Forbes America’s Best Startup Employers 2023 and 2022, Built In Colorado’s Best Places to Work 2022 and 2024, Comparably’s Best Places to Work in Denver 2022 and The Tech Tribune’s Best Startups in Denver 2022. Additionally, Strive’s CEO, Chris Riopelle, has been recognized as one of Denver Business Journal’s Most Admired CEOs. 
  • We derive innovation and ideas from through authentic diversity intentionally building a team that represents the populations we serve in partnership with our Employee Resource Groups:  
    • Strive Forward - LGBTQ   
    • Underrepresented Minorities  
    • Women and Allies   
    • Parent and Caregivers 
  • We care and support our Strivers within and beyond work to feel fully charged and empowered through our generous wellbeing offerings including:  
    • Flexible time off  
    • Sick time off 
    • Companywide wellbeing days 
    • Two comprehensive EAPs and a variety of mental health tools   
    • Volunteer time off 
    • Leave packages including a sabbatical, parental leave and eight weeks paid for living donor  
    • Professional development  
    • Financial wellness resources  
    • Carrot Fertility and Peloton for all Strivers 
  • We like to have fun by celebrating our successes as a team through team building, company gatherings, experiential incentives, core value awards, a companywide book club and more.   
  • We value tenacity to help us overcome obstacles with grit and determination to deliver compassionate kidney care.  

Clinical Quality Auditor

As the Clinical Quality Auditor, you will be responsible for completing quality review processes for care management programs. This role is responsible for ensuring appropriate clinical and care delivery practices are utilized and case documentation meets established standards consistently to support meeting internal and external quality standards, compliance, and expectations. As an auditor, you will utilize clinical experience, expertise, and quality guidelines to review patient files, care plans and interactions and care plans against appropriate applicable quality criteria in conjunction with program, accreditation and industry requirements. You will support various Kidney Hero roles (clinical and non-clinical) regarding case auditing, outcomes and coaching, quality improvement strategies, resource development and other activities to promote continuous quality improvement. This quality improvement support will be provided to operational managers and leadership to communicate and facilitate resolution for quality risks, such as root cause analysis and remediation recommendations. As a quality auditor, you will serve as a quality liaison and advisor to various strive roles and departments such as kidney heroes, operational leadership and managers, education and training colleagues. You will serve as a care manager and quality subject matter expert, applying critical thinking and decision-making skills to determine medical appropriateness while maintaining production goals and Quality Assurance standards.  

This role reports to the Sr. Manager, Clinical Quality Auditor.

The Day to Day 

  • Reviews and evaluates various patient file documentation and encounters, such as patient assessments/surveys, care plans, and recorded patient encounters against criteria to determine appropriate care delivery and documentation based on clinical practice guidelines and industry standards.
  • Meets and maintains daily, weekly, monthly auditing productivity goals and quality assurance standards.
  • Reviews internal assessments and care plans against NCQA case management and population health standards for timeliness and accuracy of documentation.
  • Prepares, communicates, and collaborates with kidney heroes regarding individual staff audit findings, documentation of deficiencies, coaching, and education regarding audit activities and findings as well as reports for clinical management and supervisors of the audited resources.
  • Assists with development, review, revision and maintenance of quality audit tools, processes, and resources as requested.
  • Identifies and assists with risk and gap resolution regarding clinical auditing processes, resources, clinical software assessments, and care plans for compliance with accreditation and regulatory standards.
  • Identifies and communicates system and/or operational issues hindering attainment of quality performance standards.
  • Abstracts review related data/information accurately on review tool by the appropriate means. Accurately submits all administrative and review related documents to appropriate parties.
  • Identifies and escalates situations which may pose quality, compliance, and safety risks that may adversely affect business operations.
  • Supports program and clinical compliance requirements and activities. Participates in accreditation activities as needed such as case preparation or presentation, reviewing cases with internal and external clients.
  • Participates and supports internal or external action plans to enhance the organization's quality and compliance posture.
  • Maintains patient/provider confidentiality through proper use of computer passwords, maintenance of secured files, in adherence to HIPAA polices and professionalism to departmental and organizational standards, policies and procedures. 

Minimum Qualifications 

  • Active, unrestricted RN license.
  • 6+ years combined of related education, experience, or certification.
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms. 

Preferred Qualifications

  • Bachelor's degree in nursing or another healthcare-related field preferred.
  • Application of NCQA program(s) accreditation standards and processes experience.
  • NCQA Accreditation Survey experience or other industry related audits.
  • Proficiency in Microsoft Office, Adobe Acrobat and internet/web navigation.
  • Case Management Certification.
  • Knowledge of the organization of medical records, medical terminology, and disease process.

About You

  • Strong clinical assessment and critical thinking skills.
  • Attention to excellence - quality driven, detailed oriented, innovative, and accountable.
  • Excellent verbal and written communication skills.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills needed. 

Annual Salary Range: $74,200.00-$90,000.00

Strive Health offers competitive compensation and benefits, including Health insurance, Dental insurance, Vision insurance, 401k Retirement Plan with Employer Match, Life and Accidental Death & Dismemberment insurance, Disability insurance, Health Savings Account, Flexible Spending Account, paid company holidays, in addition to Vacation Time Off. An annual performance bonus, determined by company and individual performance, is available for many roles as aligned to Strive Health guidelines.

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com

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