Job description
The Quality Review Nurse is a critical member of Ruby Health’s clinical team, responsible for driving quality improvement across the organization. This role sits at the intersection of clinical oversight, staff development, and operational excellence, ensuring that our care delivery meets the highest standards and that our team has the support and tools they need to perform at their best.
This role is ideal for a clinically strong nurse with a quality mindset who understands that consistent, well-documented care is what enables safe outcomes at scale. You’re not just reviewing charts; you’re helping shape how care is delivered and continuously improved across the program.
Other Information: This role will primarily be work from home with regular but very modest in-person collaboration expectations. Ruby requires reliable internet and the ability to participate in video-based meetings and team calls. Ruby Health is proud to be an equal opportunity employer. We welcome diversity and are committed to creating an inclusive environment for all employees.
Responsibilities
- Quality Improvement: Conduct record reviews and clinical audits to identify opportunities for improvement in quality indicators
Identify performance improvement opportunities related to structure, process, and outcomes of patient care coordination
Audit clinical documentation and call recordings to evaluate accuracy, completeness, and adherence to standards
Perform clinical review and auditing of AI agents and their outcomes, ensuring alignment with clinical protocols and patient safety expectations
Staff Development & Education: Develop and implement staff orientation and onboarding processes that set clear expectations and build clinical confidence
Design and deliver staff education programs in response to identified quality gaps and organizational learning needs
Serve as a clinical resource and point of consultation for nursing staff across the team
Policy & Standards: Develop and implement clinical policies and procedures that reflect current evidence, regulatory requirements, and Ruby’s care model
Participate in team huddles, case reviews, and program development conversations to help refine and improve our approach as we scale
Collaborate with the Clinical and Engineering teams to share insights and help shape new workflows and standards
Documentation & Operations: Ensure accurate and timely documentation within Ruby’s EMR
Support care transitions, quality monitoring, and escalation processes as a senior clinical voice
Requirements
- An RN with strong clinical judgment and a quality-focused mindset
Experienced in clinical quality, care management, home health, or a similar complex care environment
Skilled in documentation review, audit processes, and performance improvement methodology
A confident educator and communicator who can develop training and hold clinical standards with clarity and care
Proactive and comfortable with change; you think like a builder, not a follower
Comfortable with technology, AI-enabled tools, and EMR navigation
Collaborative and solutions-oriented with a flexible mindset
Passionate about helping patients age safely at home
Preferred Qualifications: 3+ years of experience in clinical quality, care management, home health, or ambulatory complex care
BSN preferred
Experience with Medicare, Medicare Advantage, or Medicaid populations
Familiarity with value-based care and transitional care principles
Background in staff education, onboarding, or clinical training program development
About Ruby Health
Ruby Health is redefining how healthcare supports aging and complex populations; not only in what we do, but how we do it. Our vision is bold: to build a first-of-its-kind, human-first, tech-enabled care model that helps patients thrive at home and avoid unnecessary hospitalizations. We focus exclusively on patients who are complex enough to require in-home nursing care, partnering with Home Health Agencies to ensure patients have more days at home.
As a startup, we move fast, think creatively, and value people who want to help shape something new. We’re not inheriting legacy systems; we’re building the future. Every team member helps design, iterate, and grow.
If you’re a nurse who thrives at the top of your license, believes in proactive care, and is ready to help design care delivery from the ground up, this is your moment.
