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

Healthmap Solutions • Jacksonville, FL

10h • Hybrid

About The Position

Healthmap Solutions is a specialty health management company focused on progressive diseases, with particular expertise in kidney health populations. It uses clinical big data resources and analytics to support complex specialty health management programs.

The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage efforts that improve Healthmap Solutions members’ health outcomes. The advisor partners closely with the Care Navigation team to improve the quality of the Kidney Health Management clinical program. The role develops relationships with clinical providers and practice locations, uses provider-specific data to identify improvement opportunities, and supports provider education and practice-level process improvements.

This position is hybrid and based in the Jacksonville, Florida area. It requires travel one to two days per week within an assigned geographic market to support practices and other healthcare or clinical sites as needed. Same-state residency, an active unrestricted RN license, a valid unrestricted driver’s license, automobile insurance as required by law, and successful completion of credentialing are 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 the degree.
• Active, unrestricted RN license required.
• Three or more years of progressive experience in healthcare services, clinical operations, quality, or care management.
• Valid and unrestricted driver’s license and automobile insurance as required by law; the position requires regular travel within the assigned region.
• Residency in the same state 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.

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 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.
• Share best practices and provide education and communication in areas of low provider performance.
• Assist in identifying provider-office workflow process improvements.
• 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 about 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 member care coordination.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level