About this role
The Clinical Quality Specialist (RN) plays a key role in advancing the quality, safety, and effectiveness of the member experience at Included Health. This position focuses on evaluating and improving how members engage with care across all touchpoints—including virtual visits, messaging, phone interactions, follow-up communications, and care navigation—to ensure every interaction is clinically appropriate, evidence-based, member-centered, and aligned with high-value care principles.
A central responsibility of this role is supporting the safe and effective use of Included Health’s integrated AI-enabled tools and workflows. Under the guidance of the Clinical Quality and Safety leadership team, the Clinical Quality Specialist applies clinical expertise and nursing judgment to review AI-assisted outputs, identify potential risks, and help ensure AI-supported care experiences remain accurate, safe, reliable, and clinically sound.
This role is responsible for executing established quality and safety workflows, participating in clinical reviews and investigations, and contributing to cross-functional quality improvement initiatives. The Clinical Quality Specialist will partner with teams across the organization while developing expertise in healthcare quality, patient safety, and AI-enabled care delivery.
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