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

Healthmap Solutions•Orlando, FL

4d•Hybrid

About The Position

The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage efforts that improve health outcomes for Healthmap Solutions members. The role partners closely with the Care Navigation team to improve the quality of the Kidney Health Management clinical program. It requires regular travel within the assigned region to support practices and other healthcare or clinical sites as needed, with travel expected to exceed 50%. Same-state residency is required.

Requirements

Bachelor’s degree required; six or more years of RN experience, including three or more years in a position that influences provider behavior, may be considered in lieu of a degree.
Active, unrestricted RN license required.
Three or more 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 heavy and exceeds 50%.

Nice To Haves

Three years of experience in a managed care setting.
Three 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.
Identify opportunities to improve member health outcomes using provider-specific data.
Share best practices through education and communication in areas where provider performance is low.
Help identify opportunities to improve workflows in provider offices.
Partner with physicians and their 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 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 to support consistency and coordination of provider engagement.
Maintain documentation in compliance with National Committee for Quality Assurance (NCQA) standards.
Ensure timely and successful delivery of reports to internal and external stakeholders.
Perform other related duties as assigned.