Clinical Liaison/Quality Practice Advisor - Springfield, MA OR Hartford, CT (Hybrid)

Healthmap Solutions; Springfield (MA); On-site; USD 112,000 - 148,000; Full time

Benefits offered by this job

Paid Time Off

Medical insurance

Dental insurance

Vision insurance

Disability insurance

401K with match

Job summary

Healthmap Solutions is seeking an RN Clinical Liaison/Quality Practice Advisor to coordinate performance improvement activities that boost health outcomes for Healthmap Solutions members. The role partners with Care Navigation to strengthen the Kidney Health Management program.

Candidates should have 6+ years of RN experience, an active license, and the ability to travel within the greater Springfield, MA and Hartford, CT regions.

Qualifications

• RN with 6+ years of experience, including provider performance influence.
• Active, unrestricted RN license required.
• Experience in managed care or quality improvement preferred.

Responsibilities

• Build partnerships with clinical providers and practice locations.
• Identify opportunities to improve health outcomes using provider data.
• Educate on best practices and address low performance areas.
• Support provider office workflow improvements.
• Collaborate with Care Navigation to enhance care coordination.
• Document provider meetings and ensure NCQA compliance.
• Deliver timely reports to internal and external stakeholders.

Skills

Verbal communication

Written communication

Presentation skills

Interpersonal skills

Multitasking

Analytical thinking

MS Office proficiency

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

Company Background

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Description

Position at Healthmap Solutions

Company Background

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Position Summary

The RN Clinical Liaison/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.

Location

Candidates can be located in the greater Springfield, MA area OR greater Hartford, CT area.

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

Requirements

• Bachelor’s degree required; 6+ years of RN experience including 3+ years in a position that influences provider behavior may be considered in lieu of degree
• Active, unrestricted, RN license required
• 3 years of experience in managed care setting, preferred
• 3 years of experience in 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 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 be able to successfully comply with the credentialing process

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

Travel

Heavy Travel, over 50%, to support practices in an assigned geographic market.

Compensation range

Compensation range: $112 ,000 - $148,000 (dependent on specific market/region as well as experience of the candidate selected).

Benefits

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

Americans with Disability Specifications

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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.