Clinical Performance Advisor - RN

SCP Health•De Soto, TX

3d•$75,280 - $111,435•Onsite

About The Position

The Clinical Performance Advisor represents SCP Health and the hospital to support retention of referral sources, growth of referrals and volume, and improvement of client, patient, provider, and care-management satisfaction. The role supports the Medical Director as a program liaison and works with hospital administration, SCP Health Field Operations, providers, and other stakeholders to advance clinical quality and program operations. The advisor oversees daily practice operations and workflows, monitors onsite performance and operational challenges, and recommends improvements related to key performance indicators, satisfaction, quality, efficiency, and value-based care. The position also supports staff and provider orientation, physician recruiting and engagement, clinical protocols, data analysis, reporting, and site-specific requirements. The primary location is Baptist Memorial Hospital - DeSoto in Southaven, Mississippi.

Requirements

Bachelor’s degree in nursing or a healthcare-relevant field.
At least 5 years of experience as a clinician in an acute healthcare setting.
At least 3 years of clinical quality assurance, data analytics, and reporting experience in a managed-care setting.
Prior case management experience.
Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.
Registered Nurse (RN) certification is required.
Knowledge of Medicare, Medicaid, Marketplace lines of business, and applicable regulatory requirements.
Knowledge of relevant state and federal healthcare regulations.
Intermediate knowledge of healthcare informatics, including clinical quality measures.
Understanding of financial and budgeting processes and principles.
Ability to build effective organizational partnerships and collaboratively execute business strategies.
Effective oral and written communication skills.
Ability to work effectively in a matrixed organization.
Intermediate proficiency with Microsoft Office, including Outlook, Excel, and PowerPoint.

Nice To Haves

Master’s degree.
Working knowledge of staff development and the educational process, quality improvement, and continuous process or performance improvement methodology.
Demonstrated ability to plan, coordinate, and evaluate Quality Assurance and Performance Improvement activities.
Direct patient care experience, including ICU or emergency medicine experience.

Responsibilities

Represent SCP Health, patient services, and the hospital to retain referral sources, grow referrals and volumes, and enhance satisfaction and facility relations.
Coordinate training and orientation for new office staff and patient care providers, including orientation materials, computer access, and facility-specific training.
Participate in physician interviews and coordinate with Staffing Operations to arrange meetings with medical directors and facility tours.
Represent the organization professionally and promote communication among the hospitalist team, hospital staff, patients and families, caregivers, administration, nursing, referral sources, care management, and SCP Health corporate personnel.
Serve as the Medical Director’s point person and program liaison.
Cultivate collaborative relationships with key personnel to achieve organizational and program goals.
Monitor onsite performance and operational challenges, and share improvement and efficiency recommendations with the VP of Clinical Performance Improvement and Field Operations teams.
Oversee daily practice operations and support physician engagement, facility initiatives, and program priorities.
Lead and support daily clinical performance workflows, including throughput and length-of-stay workflows, multidisciplinary rounds attendance, physician and patient rounding, provider education, data analysis, and service recovery.
Recommend and implement practice improvements related to KPIs and client and provider satisfaction.
Work with Field Operations and the Medical Director to establish and facilitate standing Hospital Medicine Committee meetings with hospital administration, facility department managers, SCP Health representatives, and ED representatives when applicable.
Facilitate Medical Director engagement, meeting participation, provider recruiting, and retention.
Remain available by phone or pager for emergencies, patient complaints, high-risk patients or situations, and practice support functions.
Work with hospital administration on clinical and practice indicators, including quality, core measures, readmissions, length of stay, case mix index, billing and diagnostic coding trends, and daily volume statistics.
Participate in program planning and evaluation with the Medical Director and Field Operations, including communication, feedback, problem solving, data analysis, and operational reviews.
Meet regularly with and assist the Medical Director and Field Operations in developing clinical protocols, order sets, workflows, best practices, and engagement efforts.
Ensure completion of all site-specific requirements.
Participate in required corporate meetings, training, organizational pilot programs, and cross coverage as requested.
Support value-based care goals and data and information-sharing requirements.
Perform additional duties and responsibilities as requested by the VP of Clinical Performance Improvement and Field Operations team.