Clinical Performance Advisor - RN

SCP Health•Kingsport, TN

4d•$83,645 - $123,816

About The Position

The Clinical Performance Advisor represents SCP Health and the hospital, supporting patient services, referral relationships, client and provider satisfaction, quality case management, and facility relations. The role serves as a liaison and point person supporting the Medical Director and oversees daily practice operations, provider engagement, facility initiatives, and workflows that advance clinical performance. The advisor monitors onsite performance and operational challenges, recommends improvements, and works with hospital administration and SCP Health teams to advance clinical and practice indicators, including quality measures, core measures, readmissions, length of stay, case mix index, billing and diagnostic coding trends, and daily volume statistics. The position supports value-based care goals, site-specific requirements, provider orientation and training, recruiting and retention, clinical protocols, organizational planning, and continuous improvement. The primary location is Holston Valley Medical Center, with travel and coverage responsibilities at additional Ballad Health facilities as needed.

Requirements

Bachelor’s degree in nursing or a healthcare-relevant field.
Registered Nurse (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.
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.
Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.

Nice To Haves

Master’s degree.
Working knowledge of staff development and the educational process, quality improvement, and continuous process/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 support referral-source retention, new referrals and volumes, 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 facilities of interest.
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 corporate teams.
Serve as a support point person and liaison for the Medical Director.
Cultivate collaborative relationships with key personnel to support 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 SCP Field Operations and the 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 applicable to the contract.
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 achieve 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 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 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.