Clinical Quality Liaison RN

Mountain Region Support; Centennial (CO); On-site; USD 80,000 - 110,000; Full time

Job summary

CommonSpirit Health is seeking a Clinical Quality Liaison RN to educate and support providers and practice sites in improving clinical quality measures. The role involves traveling 50%–75% of the work week and advising on HEDIS measures, documentation, and risk coding.

You will collect and trend performance data, develop action plans, and participate in quality improvement interventions to ensure compliance with standards. Strong communication and data analysis skills are essential.

Qualifications

• RN licensure required.
• Two years of HEDIS data collection and measures improvement or equivalent experience.
• Experience in data/chart reviews for consultation and education to providers.

Responsibilities

• Advises and educates providers and staff in clinical quality measures, documentation, and risk coding.
• Collects, summarizes and trends provider performance data to identify opportunities for improvement.
• Reports provider/clinic specific metrics.
• Identifies needs and barriers to clinical quality improvement.
• Develops action plans with providers to address barriers.
• Performs medical record reviews or audits as needed.

Skills

RN licensure

HEDIS analysis

Risk coding

Education/training

Communication skills

Education

Bachelor’s or Associate in Nursing

Job description

Job Summary and Responsibilities

As our Clinical Quality Liaison RN, you will educate and support providers and practice sites in improving clinical quality measures and closing gaps in care by traveling to sites 50%-75% of the work week. Every day you will advise and train provider organizations on HEDIS measures, medical record documentation, and risk coding. You will collect and trend performance data, support gap closure coordination, develop action plans to address barriers, and actively participate in quality improvement interventions and audits, ensuring compliance with State and Federal HEDIS standards. To be successful in this role, you will be a Registered Nurse with expertise in HEDIS measures and risk coding, strong communication and educational skills, and a proven ability to analyze data, develop action plans, and foster collaborative relationships with providers to drive clinical quality improvement and execute PHSO strategy.

• Advises and educates providers and practice staff in clinical quality measures, medical record documentation, and risk coding guidelines.
• Collects, summarizes and trends provider performance data to identify opportunities for provider improvement and closing gapsincare.
• Reports provider/clinic specific metrics.
• Identifies specific practice needs and barriers to clinical quality improvement.
• Develops action plans to address the needs and barriers in collaboration with providers.
• Performs medical record review or audits as needed.

Job Requirements

Required

• Registered Nurse (RN) licensure
• Two (2) years related HEDIS record collection and measures improvement with analytical review/evaluation and/or Quality Improvement, or equivalent work experience
• Experience in data and chart reviews to provide consultation and education to providers and provider staff

Preferred

• Associate’s or Bachelor’s degree in nursing

Where You'll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.