Clinical Quality Liaison RN
About The Position
The Clinical Quality Liaison RN educates and supports providers and practice sites in improving clinical quality measures and closing gaps in care. The role travels to sites for 50%–75% of the work week and advises and trains provider organizations on HEDIS measures, medical record documentation, and risk coding. It collects and trends performance data, supports gap-closure coordination, develops action plans to address barriers, and participates in quality improvement interventions and audits to ensure compliance with State and Federal HEDIS standards. Success requires expertise in HEDIS measures and risk coding, strong communication and educational skills, data-analysis and action-planning abilities, and collaborative relationships with providers to advance clinical quality improvement and execute PHSO strategy.
Requirements
- Registered Nurse (RN) licensure.
- Two years of related HEDIS record collection and measures improvement with analytical review/evaluation and/or Quality Improvement, or equivalent work experience.
- Experience in data and chart reviews to provide consultation and education to providers and provider staff.
Nice To Haves
- Associate’s or Bachelor’s degree in nursing.
Responsibilities
- Advise and educate providers and practice staff on clinical quality measures, medical record documentation, and risk-coding guidelines.
- Collect, summarize, and trend provider performance data to identify opportunities for improvement and gap closure.
- Report provider- and clinic-specific metrics.
- Identify practice needs and barriers to clinical quality improvement.
- Develop action plans with providers to address identified needs and barriers.
- Perform medical record reviews or audits as needed.
- Support gap-closure coordination and participate in quality improvement interventions and audits.
- Travel to provider sites 50%–75% of the work week.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
