Clinical Performance Advisor

SCP Health•Mount Vernon, OH

2d•Onsite

About The Position

The Clinical Performance Advisor represents SCP Health, patient services, and the hospital to help retain existing referral sources, develop new referrals and volumes, and improve client, primary care provider, patient, and provider satisfaction. The role supports quality case management, emergency department, and other facility relations and serves as a liaison for the program in support of the Medical Director. The Advisor oversees day-to-day practice operations and supports physician engagement, facility initiatives, clinical performance workflows, and program goals. The position works collaboratively with hospital administration, Medical Directors, SCP Health Field Operations, providers, and other stakeholders to monitor performance, improve workflows and satisfaction, and support quality and value-based care objectives. The role also supports provider and staff orientation, recruiting activities, organizational meetings, 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.
Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.
Registered Nurse (RN) certification/license 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 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/performance improvement methodology.
Demonstrated ability to plan, coordinate, and evaluate Quality Assurance and Performance Improvement activities.
Direct patient care experience, ICU experience, 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 improving client, PCP, patient, and provider satisfaction and supporting quality case management and facility relations.
Coordinate training 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 to ensure 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 team members.
Serve as a point person and liaison for the program in support of the Medical Director.
Cultivate collaborative relationships with key personnel to achieve 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 physician engagement, facility initiatives, and program priorities.
Lead and support daily clinical performance workflows, 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 goals 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, facility department managers, and SCP Health Hospital Medicine representatives, including ED 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 achieve 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 activities.
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.