RN Clinical Liaison/Quality Practice Advisor (Hybrid)

Healthmap Solutions•Jacksonville, FL

20d•Hybrid

About The Position

The Registered Nurse, Quality Practice Advisor is responsible for coordinating performance improvement activities to engage, educate, and manage activities to improve the health outcomes of Healthmap Solutions members. This position will closely partner with the Care Navigation team to improve the quality of the Kidney Health Management clinical program.

Requirements

Bachelor’s degree required
Active, unrestricted, RN license required
Basic Life Support (BLS) certification required for all field roles (within 30 days of hire)
3 years of experience in a health care or managed care setting
3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
Proof of valid and unrestricted driver’s license required and automobile insurance as required by law; this position requires regular travel within assigned region to support practices and or other healthcare/clinical sites as needed
Same state residency required
Must comply with organization policies for health screening and immunizations, including but not limited to:
Current Tuberculosis (TB) test or current chest X-ray
Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
Participation in annual health and wellness screenings
Excellent verbal, written and presentation, skills
Interpersonal skills to develop and maintain strong internal and external relationships
Ability to multitask, prioritization, and create solutions in a fast-paced environment
Strong critical thinking and analytical skills
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Heavy Travel, over 50%, to support practices in an assigned geographic market.

Nice To Haves

3 years of experience in claims or gap closure campaigns, preferred
Prior experience building and managing relationships with health care providers preferred

Responsibilities

Develop a trusting partnership with clinical providers and practice locations
Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
Incorporate education and communication on Best Practice sharing for identified areas of provider low performance
Provide assistance in identifying areas for process improvement in provider office workflows
Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support
Support operational and clinical stakeholders in the identification, development, and execution of 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 topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
Build strong cross-functional relationships with internal departments and provider partners and practice staff
Collaborate with the Care Navigation team to provide and receive information to enhance care coordination on Healthmap Solutions members
Maintain thorough documentation of all provider meetings and interactions for 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