Kidney Care Transition & Care Coordination Liaison

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

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