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

Healthmap Solutions•Orlando, FL

9h•Hybrid

About The Position

Healthmap Solutions focuses on specialty health management for progressive diseases, with particular expertise in kidney health populations. The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage efforts that improve Healthmap Solutions members’ health outcomes. The position partners closely with the Care Navigation team to improve the quality of the Kidney Health Management clinical program. The advisor builds relationships with providers and practice staff, uses provider-specific data to identify opportunities to improve member outcomes, and shares best practices and education. The role supports process improvement in provider-office workflows, helps identify members who may benefit from Care Navigation, and works with clinical and operational stakeholders on improvement initiatives. It also supports provider performance related to Healthmap Solutions interventions, care gaps, chronic conditions, and HEDIS measures; helps develop and implement quality improvement interventions; and educates provider offices about kidney health topics. The position requires thorough documentation of provider interactions, compliance with NCQA documentation standards, and timely delivery of reports to stakeholders. It involves heavy travel—over 50%—within an assigned geographic market 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; travel is over 50%.

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 healthcare providers and influencing provider behavior.

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 in areas where provider performance is low.
Assist in identifying opportunities to improve processes 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 related to 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 about chronic kidney disease, end-stage renal disease, renal replacement therapies, and related topics.
Build strong 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 for consistent, coordinated provider engagement.
Maintain documentation in compliance with NCQA standards.
Ensure timely and successful delivery of reports to internal and external stakeholders.
Perform other related duties as assigned.