Clinical Community Liaison (New York City)

Healthmap Solutions; New York (NY); Hybrid; USD 110,000 - 135,000; Full time

Benefits offered by this job

Paid Time Off

Medical benefits

Dental benefits

Vision benefits

Short/Long Term Disability

401K with match

Job summary

Healthmap Solutions in New York, NY, is seeking a Clinical Community Liaison to serve as the point of contact and coordinator of care handoff with external hospital providers, focusing on transition of care for chronic kidney disease members. You will partner with PRMs, QPAs and Care Navigation teams to improve the Kidney Health Management program.

You will build strong cross-functional relationships with care teams, document provider meetings per NCQA standards, and ensure timely reporting to

Qualifications

• Bachelor’s degree required; 5+ years of RN or relevant healthcare experience including 3+ years in case management may be considered in lieu of degree
• Active, unrestricted RN or LCSW license required
• 3 years of experience in a health care or managed care setting
• 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
• Prior experience building and managing relationships with health care providers preferred
• Proof of valid and unrestricted driver’s license required. Travel within assigned region
• Same state residency required
• Familiarity with local healthcare market
• Compliance with health screening and immunizations (TB test or chest X-ray; immunizations; health screenings)

Responsibilities

• Build positive relationships with care teams, providers, and coordinators of support
• Collaborate with hospitals to establish partnerships with clinical providers
• Interact professionally with members and families to gather information and connect to care navigation
• Facilitate transition of care handoffs at discharge with Care Navigation
• Ensure smooth information flow and coordinate care coordination for Healthmap Solutions members
• Identify members and coordinate consent for care navigation
• Identify opportunities to improve health outcomes using provider data
• Educate hospital teams on CKD, ESRD, and related therapies
• Document provider meetings per NCQA standards
• Deliver reports to internal and external stakeholders
• Support process-improvement initiatives across departments
• Travel within region and engage with physicians and staff

Skills

Verbal & written communication

Interpersonal skills

Multitasking & prioritization

Critical thinking & analysis

MS Office proficiency

Education

Bachelor’s degree

RN license or LCSW license

Job description

Position Summary:

The Clinical Community Liaison is responsible for serving as the point of contact and coordinator of care hand off with external hospital providers. The Liaison will primarily work to develop a solid approach to identifying and coordinating transition of care for chronic kidney disease members. This position will closely partner with Provider Relation Managers (PRMs,), Quality Practice Advisors (QPAs) and Care Navigation teams to improve the quality of the Kidney Health Management clinical program.

Responsibilities:

• Ability to build positive, productive relationships with care teams, service providers, and coordinators of support
• Collaborate with the assigned hospitals to develop a trusting partnership with clinical providers and interdisciplinary team members
• Interact clearly and professionally with members and their families while gathering additional information related to their kidney health and build bridges to care navigation
• Collaborate with Quality Practice advisors and Care Navigators to facilitate transition of care hand off at time of discharge
• Facilitate the flow of information collaborates with the Care Navigation team to enhance care coordination on Healthmap Solutions members
• Identify members timely and coordinates consent and hand off to care navigation
• 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 post discharge in identifying areas for process improvement in provider office workflows
• Support operational and clinical stakeholders in the identification, development, and execution of process improvement initiatives
• Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support
• Function as a resource for and identifies opportunities to educate hospital teams on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
• Build strong cross-functional relationships with internal departments and discharge planners
• 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

Requirements:

• Bachelor’s degree required; 5+ years of RN or relevant healthcare experience including 3+ years in case management may be considered in lieu of degree
• Active, unrestricted RN or LCSW license required
• 3 years of experience in a health care or managed care setting
• 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
• Prior experience building and managing relationships with health care providers preferred
• Proof of valid and unrestricted driver’s license required. This position requires travel within assigned region to visit hospital providers
• Same state residency required
• Must be familiar with local healthcare market
• 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

Skills:

• 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

Compensation Range:

$110,000 - $135,000 (dependent on specific market/region as well as experience of the candidate selected) plus bonus & potential incentive eligibility

Benefits: Competitive Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.

Travel:

• Heavy Travel, Over 50%

#LI-Hybrid