Clinical Performance Advisor - RN

SCP Health•DeSoto, TX

2d•$75,280 - $111,435•Onsite

About The Position

SCP Health is seeking a Registered Nurse Clinical Performance Advisor to support its hospital medicine program at Baptist Memorial Hospital - DeSoto in Southaven, Mississippi. The advisor represents SCP Health and the hospital, supports retention and growth of referral sources, and works to improve client, patient, provider, and primary care provider satisfaction, quality case management, and facility relations. The role serves as a liaison and operational support for the Medical Director and collaborates with hospital administration, facility departments, providers, SCP Health Field Operations, and corporate teams. The position oversees daily practice operations and workflows supporting clinical performance, including patient throughput and length-of-stay efforts, multidisciplinary rounds, physician and patient rounding, provider education, data analysis, and service recovery. The advisor monitors onsite performance and operational challenges, recommends and implements improvements, supports provider engagement and recruitment, coordinates onboarding and facility training, and helps establish and facilitate hospital medicine committee meetings. The role also works with hospital administration on quality and practice indicators, contributes to clinical protocols and operational planning, supports value-based care goals, and is available by phone or pager for emergencies, complaints, high-risk situations, and practice support.

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.
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 within the organization to 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, particularly in ICU or emergency medicine.
Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.

Responsibilities

Represent SCP Health, patient services, and the hospital to retain referral sources and grow referrals and volumes by supporting satisfaction, quality case management, and facility relations.
Coordinate training and orientation for new office staff and patient care providers, including maintaining orientation materials and arranging computer access and facility-specific training.
Participate in physician interviews and coordinate with Staffing Operations so applicants meet Medical Directors and tour relevant facilities.
Represent the program professionally and promote communication among the hospitalist team, hospital staff, patients and families, caregivers, administration, nursing staff, referral sources, care management, and SCP Health teams.
Serve as a liaison and point person in support of the Medical Director and cultivate collaborative relationships with key personnel.
Monitor onsite performance and operational challenges, and share recommended 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, including throughput and length-of-stay workflows, multidisciplinary round attendance, physician and patient rounding, provider education, data analysis, and service recovery.
Recommend and implement practice improvements relating to key performance indicators and client and provider satisfaction.
Work with SCP Field Operations and the Medical Director to establish and facilitate standing hospital medicine committee meetings with hospital administration and designated facility department managers, including emergency department representatives when applicable.
Facilitate Medical Director engagement in meeting participation, provider recruiting, and provider retention.
Be 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 team through communication, feedback, problem solving, data analysis, and operational reviews.
Meet regularly with the Medical Director and Field Operations team and assist with developing clinical protocols, order sets, workflows, best practices, and engagement efforts.
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.