RN Quality Practice Advisor (Newark, NJ)

Healthmap Solutions • Newark, NJ

15h • Hybrid

About The Position

Healthmap Solutions is seeking a Quality Practice Advisor to coordinate performance improvement activities aimed at enhancing the health outcomes of its members, with a specific focus on kidney health populations. This role involves close collaboration with the Care Navigation team to elevate the quality of the clinical program. The ideal candidate will leverage clinical big data and analytics to drive these initiatives in a diverse and growing company that champions better health for those in need.

Requirements

• Bachelor’s degree
• 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
• Prior experience building and managing relationships with health care providers preferred
• 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

Nice To Haves

• 3 years of experience in claims or gap closure campaigns, preferred
• 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management

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

Benefits

• As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

What This Job Offers

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