Clinical Performance Advisor

SCP Health•Mount Vernon, OH

4d•Onsite

About The Position

The Clinical Performance Advisor represents SCP Health, patient services, and the hospital to support referral-source retention and growth, satisfaction, quality case management, and facility relations. The role serves as a liaison and point person in support of the Medical Director and oversees daily practice operations, provider engagement, facility initiatives, and clinical performance workflows. The Advisor works with hospital administration, medical directors, SCP Health Field Operations, providers, and other stakeholders to monitor operational performance, analyze data, support quality and value-based care goals, and improve clinical and practice indicators. The role also supports staff and provider orientation, recruiting, training, committee meetings, protocols, and site-specific requirements. The primary location is Knox Community Hospital in Mt. Vernon, Ohio.

Requirements

Bachelor’s degree in nursing or a healthcare-relevant field.
RN certification.
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.
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 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, including ICU or Emergency Medicine experience.

Responsibilities

Represent SCP Health, patient services, and the hospital to retain existing referral sources and grow new referrals and volumes by enhancing client, PCP, patient, and provider satisfaction, quality case management, Emergency Department relations, and other facility relations.
Support training coordination and orientation for new office staff and patient care providers, including maintaining orientation packets, 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.
Act as a professional representative 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.
Cultivate collaborative relationships with key personnel to accomplish organizational and program goals.
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 program needs related to physician engagement, facility initiatives, and priorities.
Lead and support daily workflows for clinical performance initiatives, including throughput and length-of-stay workflows, MDR 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 as established by SCP Health and client teams.
Collaborate with the SCP Field Operations team and Medical Director to establish and facilitate standing Hospital Medicine Committee meetings with hospital administration, designated facility department managers, and SCP Health Hospital Medicine representatives, including Emergency Department representatives when applicable.
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 related to quality, core measures, readmission rates, length of stay, case mix index, billing and diagnostic coding trends, and daily volume statistics.
Participate in organizational planning and program evaluation with the Medical Director and Field Operations team through communication, feedback, problem solving, data analysis, and operational reviews.
Meet regularly and assist the Medical Director and Field Operations team in developing clinical protocols, order sets, workflows, best practices, and engagement.
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.

Benefits

Comprehensive benefits package and competitive compensation.
Medical insurance.
Dental insurance.
Vision insurance.
401(k) plan with company match.
Paid time off and holidays.
Professional development support.
Employee wellness resources.
The company describes a strong track record of providing excellent work/life balance.
The company is committed to an inclusive culture of belonging and empowerment.