Quality and Compliance Manager in Phoenix, Arizona at Gellert Health Inc

Job description:

Organization Information

Our continued success means continued growth! Gellert Health is expanding to meet rising demand and Bring Care Back to Healthcare. We're looking for compassionate team members to grow with us, candidates who are grounded in our values of Kindness, Integrity, and Quality, as we expand our impact in the communities we serve!

At Gellert Health, our mission is to Bring Care Back to Healthcare. We offer an unparalleled concierge level of health navigation and advocacy for the vulnerable, striving for excellence in care. Our foundation is built on kindness, integrity, and quality, values that resonate in our dedication to the community, patients, partners, and our team members. Gellert Health is committed to integrating cultural competence and the principles of trauma-informed care into our services.

Gellert Health has transformed healthcare for the most vulnerable and underserved populations by providing Health Navigation Services aimed at enhancing both physical and behavioral health outcomes for patients. Our focus lies in addressing the primary barriers to quality healthcare, which include supporting patients in understanding and navigating the healthcare system and ensuring access to safe and reliable transportation.

Position Summary

The Quality and Compliance Manager leads quality assurance, auditing, and navigator workflow oversight across Gellert Health’s operations. This role ensures compliance with state mandated documentation standards, care coordination processes, and operational expectations while serving as a professional organizational representative with external providers, community partners, health plans, and leadership.

This position drives operational quality, navigator accountability, and continuous improvement through auditing, performance monitoring, and cross-functional collaboration. The ideal candidate builds strong internal and external relationships, communicates with professionalism and sound judgment, and represents the organization confidently in meetings, case reviews, and partner discussions.

The ideal candidate brings a background in healthcare, nursing, care coordination, social work, or case management, with experience in quality assurance, auditing, and stakeholder engagement in a healthcare setting.

This position is Onsite, Monday - Friday, 8:00 AM - 4:00 PM in North Central Phoenix.

Essential Duties and Responsibilities

Quality Assurance and Auditing

· Conduct routine note and scheduling audits to ensure completeness and accuracy, workflow efficiency, productivity, and adherence to legal and operational standards.

· Complete patient quality checks to evaluate consistency in communication, follow-up, and care coordination

· Identify workflow trends, documentation deficiencies, and quality concerns requiring operational follow-up

· Maintain reporting and tracking related to audits, quality initiatives, and operational findings

· Collaborate with Supervisors and Leadership regarding audit findings, quality concerns, and operational improvement opportunities

Compliance and Operational Oversight

· Ensure adherence to patient navigation workflows, documentation standards, company policies, and operational expectations

· Identify operational risks, workflow concerns, and quality gaps, and assist leadership with corrective action planning

· Support implementation and monitoring of quality improvement initiatives across navigation operations

· Promote consistency, accountability, and operational excellence across navigator and patient support functions

· Assist in maintaining organizational quality standards within navigation services

Patient Outcomes and Performance Improvement

· Track and evaluate patient outcomes, patient engagement, and navigation service effectiveness

· Analyze quality and operational data to identify trends and opportunities for process improvement

· Support initiatives focused on improving patient satisfaction, continuity of care, and overall patient experience

· Participate in case conferencing and collaborate regarding patient coordination concerns, serving as a professional representative of the organization in interactions with external providers, community partners, health plans, and organizational leadership

· Build and maintain strong working relationships with internal and external stakeholders to support effective care coordination, problem resolution, and continuity of care

· Demonstrate professionalism, sound judgment, and strong communication skills when addressing complex patient coordination issues, facilitating cross-functional collaboration, and representing the organization in meetings, case reviews, and partner discussions

· Foster trust and credibility with external organizational leaders through a consistent presence, accountability, and the ability to navigate sensitive situations with diplomacy and confidence

· Assist leadership in developing operational strategies to improve navigation quality and service delivery

Training and Staff Support

· Support onboarding and training of new Navigators as needed

· Provide education related to documentation standards, workflow expectations, and quality initiatives

· Assist in identifying educational gaps and reinforcing operational best practices

· Collaborate with Navigator Supervisors and Leadership Team to support staff development and operational consistency

Qualifications

· Preferred background in healthcare, nursing, clinical services, patient navigation, care coordination, case management, or related healthcare field

· Bachelor’s degree preferred in nursing, healthcare administration, business, or related field (or experience equivalent)

· Minimum of 5 years of experience in healthcare operations, quality assurance, auditing, patient navigation, care coordination, or clinical oversight

· Strong understanding of healthcare documentation standards, patient coordination workflows, and operational quality expectations

· Experience conducting audits, analyzing performance data, and implementing process improvements

Core Competencies

· Quality assurance and auditing

· Navigation workflow oversight

· Operational accountability

· Patient outcomes improvement

· Critical thinking and analysis

· Process improvement

· Communication and collaboration

· Leadership and professionalism

· Attention to detail and consistency

Requirements

· At least 21 years old

· 39 months clear Motor Vehicle Record

· Current Arizona driver’s license and Auto Insurance

· Ability to successfully pass a criminal background check and a drug screening. (Any convictions will be evaluated based upon the conviction in relation to the job requirements. A criminal conviction is not necessarily a deterrent to employment.)

· College degree and/or relevant work experience

· Active AZ Fingerprint Clearance Card

Pay and Benefits

· Medical, Dental, and Vision Insurance

· 401k

· Paid Holidays

· PTO

Probationary Period

This position includes a standard 90-day probationary period to assess performance and fit within the company. In certain cases, this period may be extended at the discretion of management to provide additional time for evaluation or training.

Equal Opportunity Employer

Gellert Health is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We value the unique contributions of individuals with varied backgrounds, perspectives, and skills to help us achieve our mission.

Gellert Health prohibits discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected characteristic under applicable federal, state, or local laws.

We conduct background checks and drug screenings as part of our commitment to maintaining a safe, healthy, and efficient work environment for employees, patients, and the community.