Clinical Performance Advisor - RN

SCP Health•Bristol, TN

About The Position

The Clinical Performance Advisor - RN represents SCP Health, patient services, and the hospital to support retention of existing referral sources, growth of new referrals and volumes, and improvements in client, primary care provider, patient, and provider satisfaction, quality case management, emergency department performance, and facility relations. The role serves as a liaison supporting the Medical Director and the hospitalist program, and oversees daily practice operations and workflows that advance clinical performance and facility priorities. The advisor collaborates with hospital administration, clinical and operational teams, and SCP Health colleagues to monitor performance, address operational challenges, improve key indicators, and support value-based care. The position is based at Ballad Health - Bristol Regional Medical Center, with coverage responsibilities at additional Ballad system sites as needed. Travel to additional Ballad facilities within the area is required.

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.
Registered Nurse (RN) certification 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 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.
Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.
Travel to additional Ballad facilities within the area as needed.

Nice To Haves

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

Responsibilities

Represent SCP Health, patient services, and the hospital to support referral-source retention, new referrals and volume growth, satisfaction, quality case management, emergency department performance, and facility relations.
Support training coordination and orientation for new office staff and patient care providers, including maintaining orientation packets, obtaining computer access, and coordinating facility-specific training.
Participate in physician interviews and coordinate with Staffing Operations so applicants meet medical directors and tour facilities of interest.
Represent the program professionally with hospital personnel and promote communication among the hospitalist team, hospital staff, patients and families, caregivers, administration, nursing staff, referral sources, care management, and SCP Health corporate team members.
Serve as a point person and liaison supporting the Medical Director and the program.
Cultivate collaborative relationships with key personnel to support organizational and program goals.
Monitor onsite performance and operational challenges, and share improvement and efficiency strategies 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 workflows for clinical performance initiatives, 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 key performance indicators and client and provider satisfaction.
Work with the SCP Field Operations team and Medical Director to establish and facilitate standing hospital medicine committee meetings with hospital administration, facility department managers, and SCP Health representatives; include emergency department representatives when the contract covers both services.
Facilitate Medical Director engagement to support meeting participation, provider recruiting, and retention.
Be available by phone or pager for emergencies, patient complaints, high-risk patients or situations, and practice support functions.
Work with hospital administration to attain clinical and practice indicators relating to quality, core measures, readmission rates, 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 team through communication, feedback, problem solving, data analysis, and operational reviews.
Meet regularly with and assist the Medical Director and Field Operations team in developing clinical protocols, order sets, workflows, best practices, and engagement approaches.
Ensure completion of all site-specific requirements.
Participate in required corporate meetings, training sessions, 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.