Hiring: Director of Clinical Quality Company: Equip Location: United States Job Posted Time: 2026-09-16 14:22:51 Employment Type: Remote Target Skills & Keywords : Clinical Documentation, EMR, HIPAA, Revenue Cycle Management, Root Cause Analysis, Spring About the job Experience: •8+ years of experience in behavioral health with demonstrated expertise in either clinical quality improvement, utilization management, or a meaningful combination of both within virtual/telehealth, managed care, integrated delivery, or provider-based settings. •3+ years of progressive leadership experience, including people management of multidisciplinary teams (therapists, dietitians, physicians/apps, QM, UM, auditing, or compliance staff) in a remote or telehealth setting. Required Skills: •Design and oversee patient safety initiatives, safety reporting programs, and continuous clinical care improvement initiatives informed by safety data, audit findings, and peer review outcomes •Provide oversight of clinical care standards across all disciplines — therapy, dietary, medical, and psychiatry — ensuring alignment with evidence-based eating disorder treatment standards. •Develop and maintain clinical practice guidelines and documentation standards in partnership with discipline-specific leaders and the Compliance team. •Lead clinical incident investigations and root cause analyses in collaboration with the Compliance team, developing and implementing risk mitigation strategies and monitoring patterns to identify systemic trends. •Draft and revise clinical policies and procedures as informed by incident investigations, audit findings, and regulatory requirements, managing policies through the formal review and approval workflow. including CQC review and executive ratification. •Identify and elevate ethical care considerations, provide decision-making support on complex cases, and escalate concerns to Legal and Compliance with appropriate documentation. •Collaborate closely with Equip’s Data Insights & AI team to establish metrics and dashboards to track clinical quality metrics, translating data into actionable insights to drive improvements and contribute to long-term strategic planning for clinical quality. •Serve as the standing operational lead of the CQC — preparing agendas, presenting quality data, and ensuring follow-through on committee decisions Qualifications: •Master’s degree or higher in a behavioral health or clinical field (e.g., MD/DO, MSW, MFT/LMFT, LPC/LP, PsyD, PhD, APRN, NP, RN with clinical leadership focus, or equivalent). •Independent clinical licensure applicable to your setting (e.g., MD/DO, LCSW, LMFT, LP, LPC, RN, APRN) •Demonstrated experience reviewing behavioral health clinical documentation and applying medical necessity criteria consistent with payer and regulatory requirements in a telehealth context. •Demonstrated knowledge of evidence-based standards relevant to behavioral health; familiarity with telemedicine adaptations of these standards and familiarity with eating-disorder treatment is a plus. •Direct experience designing or leading clinical quality programs in a virtual environment (e.g., chart audits, peer review, incident management, root cause analysis, policy/guideline development). •Proven ability to balance patient, provider, and payor interests while upholding clinical and ethical standards in a virtual care model. •Operational familiarity with governance structures (e.g., Clinical Quality Committee) and remote collaboration tools. •Proficiency with telehealth platforms, EMR/eClinical systems, and digital chart review; ability to leverage data to drive quality improvement in a virtual environment. •Operational familiarity with HIPAA privacy requirements and safeguarding confidential information in telehealth and cloud-based settings. •Knowledge of payer policies for virtual behavioral health, telemedicine reimbursement considerations, and utilization management workflows within remote care. Compensation: •$140,000 - $175,000 / year •Flexible work environment (work from home / hybrid options) Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!