RN Clinical Nurse Liaison/Quality Practice Advisor (Hybrid) - Broward County, FL

Healthmap Solutions•Fort Lauderdale, FL

4d•Hybrid

About The Position

The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage efforts to 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. This hybrid position is based in Broward County, Florida, and requires regular travel within the assigned region to support practices and other healthcare or clinical sites as needed.

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.
Residency in the same state is 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.
Regular travel within the assigned region is required; travel is approximately one to two days per week to support practices in an assigned geographic market.

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 healthcare providers and influencing them.
Bilingual Spanish/English skills.

Responsibilities

Develop trusting partnerships with clinical providers and practice locations.
Use provider-specific data to identify opportunities to improve member health outcomes.
Educate providers and share best practices in areas where provider performance is low.
Assist in identifying process-improvement opportunities in provider-office workflows.
Partner with physicians and physician staff to identify members who could benefit from Care Navigation support.
Support operational and clinical stakeholders in identifying, developing, and executing process-improvement initiatives.
Improve provider performance in areas including 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 member care coordination.
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.
Ensure timely and successful delivery of reports to internal and external stakeholders.
Perform other related duties as assigned.