Clinical Quality Lead

About Float

Float is the full-stack platform for Specialty Pharma home infusion. We’re on a mission to make healthcare safer, easier, and more efficient by connecting SuperNurses to home medication visits - moving all care that doesn’t need a hospital to the home.

Float connects nurses with patients so they can get treatments for their chronic conditions in the home rather than going into the overcrowded hospital. Our model benefits all stakeholders - patients get more convenient care, nurses access flexible work for better pay, pharmacies fill more prescriptions, hospitals reduce low-reimbursement admissions, and payors enjoy 12x reduced costs with home-delivered care.

Over the last 5 years, we’ve successfully demonstrated multi-state expansion, validated strong unit economics, and boast remarkable retention of patients, nurses, and pharmacies. We’ve facilitated over 90,000 patient visits with 1,400 nurses and are scaling our platform, team, and operations to serve more geographies and patients.

Float Health is currently recruiting nurses and serving patients in California, Nevada, Arizona, Texas, Washington, Michigan, Indiana, Georgia, and Ohio with several new states on the horizon.

The Role

Float is seeking a Clinical Quality Lead to own the nursing judgment at the center of our quality program.

Quality in a nurse marketplace works differently than in a traditional staff-model agency. Float nurses are 1099 independent clinicians practicing across multiple states, pharmacy programs, and patient homes, exercising significant independent nursing judgment without another clinician present. Float does not create quality through visit-by-visit supervision — we create it through clear standards, effective education, reliable incident processes, and feedback loops that help excellent nurses succeed while identifying risk early.

This role owns the clinical core of that system: defining what good care looks like, investigating what happens when care deviates from plan, and deciding what happens next.

Reporting to the Clinical Nurse Manager, the Clinical Quality Lead sits within the Clinical Resource Team.

This role exists because we believe a marketplace of independent nurses can deliver clinical quality that rivals or exceeds traditional care models when supported by the right systems. Float is proving this at a national scale.

Mission for This Role

Build a scalable clinical quality system that makes safe nursing care visible, measurable, and continuously improvable across every Float market, pharmacy partnership, and patient visit.

What You'll Own

Clinical Standards

• Define what high-quality clinical care looks like for a Float visit: adherence to provider orders, medication administration, infusion practice, assessment, monitoring, escalation, and documentation.
• Build and maintain clinical review criteria, decision frameworks, and escalation pathways that work within Float's independent contractor model.
• Define and monitor the clinical quality indicators that matter across the Float marketplace.

Clinical Incident and Adverse Event Management

• Own the investigation and resolution of medication errors, adverse events, near misses, and clinical quality events.
• Lead root cause analyses and CAPA processes using a fair, clinically sound, systems-oriented approach — distinguishing individual performance issues from workflow, education, product, or partner-level failures.
• Determine when an event requires nurse education, competency reassessment, marketplace restriction, or leadership escalation.
• Produce clear, precise, defensible findings for nurses, pharmacy partners, and Float leadership.

Clinical Education and SOP Development

• Translate quality findings into education priorities, competency expectations, job aids, and targeted nurse communication.
• Write and maintain clinical policies, SOPs, documentation standards, and investigation procedures — and evaluate whether interventions actually improve nursing practice.

Clinical Voice to Partners and Product

• Serve as the clinical quality voice in pharmacy partner quality reviews, investigations, and performance discussions.
• Partner with Product, Analytics, and Compliance — bringing clinical requirements and risk judgment to their work rather than owning their systems.

What Success Looks Like

• Clinical incidents are investigated promptly, thoroughly, and fairly, with corrective actions that address root causes rather than symptoms.
• Nurses receive clearer expectations and better tools to deliver safe, independent care in the home.
• Quality findings routinely inform education, competency, product, and operational priorities.
• Float enters new states, partners, and therapies with repeatable clinical quality playbooks.

Requirements

• Active, unencumbered Registered Nurse license.
• Five or more years of nursing experience, including at least three years in clinical quality, patient safety, risk management, clinical education, or documentation review.
• Direct experience conducting clinical incident investigations using root cause analysis and CAPA methodologies.
• Strong command of nursing standards of practice, medication administration safety, clinical documentation, and escalation.
• Exceptional written communication. Much of this role is producing findings and standards that must be precise, balanced, and defensible.
• Sound judgment about what requires education, system redesign, escalation, or restriction from clinical activity.
• Demonstrated ability to work independently in a remote, fast-changing environment.

Preferred Experience

• Home infusion, specialty pharmacy, biologics, or immunoglobulin administration experience.
• Experience supporting a 1099 contractor network, healthcare marketplace, or distributed clinician population; multi-state practice experience.
• Familiarity with accreditation frameworks (ACHC, URAC, The Joint Commission) or training in just culture, human factors, lean, or high-reliability principles.
• MSN, MHA, MPH, or related graduate degree.

Pay, perks and such:

• Medical, dental, vision
• 401k matching
• Unlimited PTO with minimum days
• Paid parental leave
• Phone & internet monthly stipend
• Annual Learning Stipend
• HSA & FSA
• Voluntary Life, Accident, Hospital, and Critical Illness Insurance
• Zero commute. Work wherever you are (on or around US hours)

Compensation for this role consists of a base salary and options grant, with the base salary expected to range from $102,000 to $112,000 per year. Individual compensation will be commensurate with the candidate’s experience and location.

This is a fully remote position based in the US. Float operates primarily on Pacific Time, and many of our core team workflows are aligned to West Coast business hours. We welcome candidates located anywhere in the U.S. and are happy to accommodate other time zones where possible, while ensuring overlap for key meetings and cross-functional collaboration.

Culture

We are a Series A startup looking for people who will grow with the team and adapt to a fast-paced, continually changing environment.

At Float, we #WorkfortheSuperNurse. We believe that making excellent nurses the heroes attracts excellent clinical talent and creates a better patient experience. As our nurses boldly do what is right for patients, we boldly work to give them the standards, systems, information, and support they need to succeed.

Float Health is an equal opportunity employer. We celebrate the diversity of the team that builds for diverse users and are committed to creating an inclusive environment for all employees.