Quality, RN

Company Description At Amwell, we’re transforming healthcare for all—powered by technology and inspired by people. Here, your ideas don’t just matter—they drive real change, improving lives on a global scale. We marry technology and innovation with clinical excellence to provide trusted solutions that solve the healthcare industry’s biggest pain points and are on a mission to enable greater access to more convenient, affordable, and effective care. We do this through our technology-enabled care platform that is designed to help our clients achieve their digital care ambitions – today and in the future. We offer programs spanning the full care continuum, including urgent, acute and specialty care, behavioral health, and services for the treatment of chronic conditions such as heart and cardiometabolic diseases. Programs are powered by Amwell as well as our growing partner network. For almost two decades, Amwell has proudly served some of the largest and most sophisticated healthcare organizations in the U.S. and worldwide. Our team is passionate about technology’s role in transforming care delivery and making it more equitable, accessible, efficient, cost-effective and navigable for all. Brief Overview This position provides quality review and support to the AmWell Medical Group (AMG). The RN candidate will be employed by American Well providing review and support to the AmWell Medical Group Practice. The AmWell Medical Group is comprised of board-certified, credentialed, qualified physicians and other allied providers and built to provide online healthcare services for American Well’s Online Care clients. The AmWell Medical Group currently provides acute care services in approximately 44 states, with the expectation of expanding to providing other medical services (e.g., chronic care management, specialty care, behavioral health) in all 50 states in the future. Care is delivered utilizing American Well’s Online Care system. Online Care allows patients and consumers to connect with physicians immediately, whenever they have a health need, from their homes or offices. The innovation uses advanced Web-based technologies and telephony to remove traditional barriers to healthcare access, including insurance coverage, geography, mobility, and time constraints. Core Responsibilities · Participate in monthly Ongoing Professional Provider Evaluation (OPPE)- in depth provider case reviews · Identify provider trends, deficits in clinical and documentation standards · Participation in Provider coaching/training · Participate in monthly client meeting to understand and support client expectations · Initiation and management of Prior Authorizations · Participation in workflow design and QA improvements · Participation in risk management planning · Participation in ongoing policy and procedure design and editing- including, but not limited to clinical matters, intake, emergency preparation, referral planning and documentation · Participation in regulatory assessment and compliance planning · Interface with providers as needed · Provide clinical support to other departments as needed to support organizational initiatives · Participation in department and committee meetings · Participation in the development of a process that measures outcomes · Participation in the quality management program, including investigation of red flag cases and adverse events · Participate in root cause analysis Qualifications · Registered nurse with a broad range of clinical experience; minimum of 10 years in practice · Experience managing clinical outcomes based on a variety of acute and chronic illnesses. · Strong communication skills; ability to build professional relationships with providers to provide ongoing feedback/coaching · Strong analytical skills, review and analysis of metrics, identify provider issues · Strong technical and application skills to support providers/patients · Interpretation and manipulation of clinical data via excel spreadsheets · Experience providing remotes care/support is a plus · Desire to be a part of the telehealth innovation Do Well. Live Well. At Amwell. Driven by our mission and values, we foster a workplace where Delivering Awesome, being Customer First and operating as One Team aren’t just aspirations – they are how we work, every day. Our people are our greatest asset. We strive to empower their growth and development not only as Amwellians but as individuals, through generous total rewards packages, a virtual-first work environment, work-life flexibility, including Summer Fridays and designated Mental Health Days, as well as opportunities to stretch and learn – to name a few. It’s our people who truly differentiate us. Ask anyone and they’ll tell you – you’ll never work with more passionate, more driven and more caring team members. We champion a culture of respect and inclusion, accountability and integrity, innovation and collaboration. At Amwell, you’ll do the most meaningful work of your career—improving healthcare for millions, growing alongside incredible teammates, and being valued for who you are. Benefits Flexible Personal Time Off (Vacation time) 401K match Competitive healthcare, dental and vision insurance plans Paid Parental Leave (Maternity and Paternity leave) Employee Stock Purchase Program Free access to Amwell’s Telehealth Services, SilverCloud and The Clinic by Cleveland Clinic’s second opinion program Free Subscription to the Calm App Tuition Assistance Program Pet Insurance Salaried, Exempt Roles The typical base salary range for this position is $90,630 - $124,000. The actual salary offer will ultimately depend on multiple factors including, but not limited to, knowledge, skills, relevant education, experience, complexity or specialization of talent, and other objective factors. In addition to base salary, this role may be eligible for an annual bonus based on a combination of company performance and employee performance. Long-term incentive and short-term variable compensation may be offered as part of the compensation package dependent on the role. Some roles may be commission based, in which case the total compensation will be based on a commission and the above range may not be an accurate representation of total compensation. Further, the above range is subject to change based on market demands and operational needs and does not constitute a promise of a particular wage or a guarantee of employment. Your recruiter can share more during the hiring process about the specific salary range based on the above factors listed. https://business.amwell.com/company/privacy-notice-applicants Privacy Notice