Clinical Performance Advisor - RN

SCP Health•Kansas City, MO

18h•Onsite

About The Position

SCP Health is hiring a Clinical Performance Advisor (RN) to support clinical effectiveness and hospitalist program operations at Research Medical Center in Kansas City, Missouri. The role represents SCP Health and the hospital, supports patient services, and works to retain existing referral sources and grow referrals and volumes by improving client, primary care provider, patient, and provider satisfaction, quality case management, emergency department relations, and other facility relationships. The advisor serves as a liaison and point person in support of the Medical Director, overseeing daily practice operations and workflows and helping achieve organizational and program goals. The role monitors onsite performance and operational challenges, recommends improvements, supports provider engagement and recruitment, and collaborates with hospital administration, clinicians, facility departments, SCP Health teams, patients, and families. It also supports clinical performance initiatives, quality and value-based care goals, data sharing, and site-specific requirements.

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.
Required RN certification.
Knowledge of Medicare, Medicaid, and 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, educational processes, 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, preferably 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 enhancing satisfaction, quality case management, and facility relations.
Coordinate training and orientation for new office staff and patient care providers, including maintaining orientation materials, obtaining computer access, and arranging facility-specific training.
Participate in physician interviews and coordinate with Staffing Operations to ensure applicants meet medical directors and tour facilities of interest.
Promote communication among the hospitalist team, hospital staff, patients and families, caregivers, administration, nursing staff, referral sources, care management, and SCP Health corporate personnel.
Serve as the Medical Director’s point person and liaison for the program, cultivating collaborative relationships with key personnel.
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.
Establish and facilitate standing hospital medicine committee meetings with hospital administration, facility department managers, SCP Health hospital medicine representatives, and emergency department representatives when applicable.
Facilitate Medical Director engagement, 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 to achieve clinical and practice indicators relating to 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.
Assist the Medical Director and Field Operations team with development of clinical protocols, order sets, workflows, best practices, and engagement.
Ensure completion of 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 as requested by the VP of Clinical Performance Improvement and Field Operations team.