Clinical Quality Advisor

Alliant Health Solutions, Inc.•Nashville, TN

14d•Hybrid

About The Position

In accordance with customer contractual requirements, the Clinical Quality Advisor, Opioid Prescriber Support (OPS) will support prescribers participating in the OPS program. The Clinical Quality Advisor, OPS will provide technical assistance and provide education to opioid outlier prescribers about evidence based best practices and quality improvement to improve patient outcomes.

Requirements

Knowledge, skill, and ability to work independently and organize and prioritize time and projects; and manage and collaborate with team
Knowledge, skill, and ability to manage and adapt to change, and be flexible in work assignments.
Computer literate with keyboarding skills and intermediate to advance level knowledge of Microsoft Office (including Word, PowerPoint, Excel, Outlook, Teams), Internet, and virtual meeting platforms such as Zoom.
Proven ability and experience in engaging and building strategic relationships with internal and external customers.
Ability to express ideas and convey information quickly and effectively in a verbal and written manner.
Ability to think creatively and critically, and analyze problems, and find innovative approaches to problem resolution.
Ability to handle multiple projects simultaneously
Ability to maintain confidential information.
Ability to travel as required by driving and/or going on airplane to home office, customer locations, or other required locations to provide technical assistance, meetings etc.
Registered Nurse, with at least three years of recent clinical experience
Bachelor’s degree in nursing or other related field required; or equivalent work experience
Current and unencumbered nursing license in state of resident or multi-state license
Previous quality improvement work experience in hospitals, nursing homes, and/or physician practices

Responsibilities

Engage clinicians to decrease opioid prescriptions as directed by CMS.
Engage and collaborate with healthcare systems, community leaders, and other personnel as applicable.
Lead, guide, and provide customer account management for the use of the quality improvement methodology, implementation science, healthcare facilitation, intervention effectiveness, behavioral science, and other Alliant-adopted strategies to understand, measure, and predict contract performance through timely and effective measures.
Work closely with clinical subject matter experts to provide innovative outreach and engagement to prescribers.
Follow standard operating procedures (SOPs) for all quality improvement activities, maintaining compliance with established timelines and project milestones.
Practice and promote rapid cycle improvement techniques in daily work.
Track, monitor and enter timely data entry (within 24 hours) within designated Alliant Customer Relationship Management (CRM) or CMS system(s) to document technical assistance encounters.
Behaves in a customer–service-oriented and positive manner with internal and external customers, at all levels of the organization.
Ensure quality work and always improve work product and services.
Adhere to department and company policies and procedures, and compliance programs.
Promote core values of teamwork, professionalism, effective communication skills, and positive behaviors.
Maintain security and confidentiality of all information in accordance with HIPAA laws and regulations and company policies.
Other tasks, projects, and duties as assigned.