RN Clinical Liaison/Quality Practice Advisor (Hybrid) - Tampa Bay, FL, area

Healthmap Solutions•Tampa, FL

17h•Hybrid

About The Position

The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage efforts that improve Healthmap Solutions members’ health outcomes. The role partners closely with the Care Navigation team to improve the quality of the Kidney Health Management clinical program. The advisor builds partnerships with clinical providers and practice locations, uses provider-specific data to identify opportunities to improve outcomes, and shares best practices and education in areas of low performance. The position supports provider-office workflow improvements, quality initiatives, care-gap closure, and coordination of Care Navigation support for members. It also maintains documentation of provider engagement in accordance with NCQA standards and delivers reports to internal and external stakeholders. The position is hybrid and based in the Tampa Bay, Florida area, with regular travel within an assigned geographic market. Travel is heavy and exceeds 50% to support practices and other healthcare or clinical sites as needed. Same-state residency is required.

Requirements

Bachelor’s degree required; 6+ years of RN experience, including 3+ years in a position that influences provider behavior, may be considered in lieu of a degree.
Active, unrestricted RN license required.
3+ years of progressive experience in healthcare services, clinical operations, quality, or care management.
Valid, unrestricted driver’s license and automobile insurance as required by law.
Same-state residency required.
Must successfully comply with the credentialing process.
Excellent verbal, written, and presentation skills.
Interpersonal skills to develop and maintain strong internal and external relationships.
Ability to multitask, prioritize, and create solutions in a fast-paced environment.
Strong critical-thinking and analytical skills.
Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
Ability to travel regularly within the assigned region to support practices and other healthcare or clinical sites.

Nice To Haves

3 years of experience in a managed care setting.
3 years of experience in gap-closure campaigns.
Prior experience building and managing relationships with, and influencing, healthcare providers.

Responsibilities

Develop trusting partnerships with clinical providers and practice locations.
Use provider-specific data to identify opportunities to improve Healthmap Solutions members’ health outcomes.
Educate providers and communicate best practices for identified areas of low performance.
Assist in identifying process-improvement opportunities in provider-office workflows.
Partner with physicians and physician staff to identify members who may benefit from Care Navigation support.
Support operational and clinical stakeholders in identifying, developing, and executing process-improvement initiatives.
Improve provider performance in areas such as Healthmap Solutions interventions, care gaps, and chronic conditions.
Educate providers on HEDIS measures and open care gaps.
Support the development and implementation of quality-improvement interventions.
Identify opportunities to educate provider offices on chronic kidney disease, end-stage renal disease, renal replacement therapies, and related topics.
Build cross-functional relationships with internal departments, provider partners, and practice staff.
Collaborate with the Care Navigation team to exchange information and enhance care coordination for members.
Maintain thorough documentation of provider meetings and interactions to support consistent, coordinated provider engagement.
Maintain documentation in compliance with National Committee for Quality Assurance (NCQA) standards.
Deliver reports to internal and external stakeholders in a timely and successful manner.
Perform other related duties as assigned.