Registered Nurse Quality Provider Performance Consultant

Intermountain Healthcare; United States; Remote; Full time

Job summary

Intermountain Healthcare seeks a Quality Provider Performance Consultant Registered Nurse to optimize care processes within a population health management framework. The role involves direct collaboration with providers to foster improvements, utilizing clinical expertise, while traveling to support practice transformation. Ideal candidates will possess a BSN, a valid Utah RN license, and extensive experience in nursing and project management.

Benefits

Generous benefits package

Focus on caregiver well-being

Qualifications

• 5 years of nursing experience required.
• Current RN license in Utah is necessary.
• Experience with quality improvement and change management.

Responsibilities

• Support clinical transformation and improvement in practices.
• Collaborate with clinical teams to enhance quality care.
• Educate on best practices for population health management.

Skills

Leadership

Performance Metrics

Clinical Care

Communication

Analytical Thinking

Education

Bachelor’s degree in Nursing (BSN)

Master’s degree in Nursing or clinical area

Job description

Job Description:

The Quality Provider Performance Consultant Registered Nurse is responsible for working directly with providers and care teams to build relationships and educate and implement structures and processes in alignment with population health management models.

Essential Functions

Job Essentials

The Consultant will familiarize providers and their care teams with tools, reporting, and best practices and assist in the development of skills necessary to support meaningful changes in the way care is delivered. The incumbent assists providers/practices in utilizing analytic tools and practice level member data to improve coordination of care, quality metric performance, appropriate utilization, patient access, and patient outcomes. The incumbent collaborates with practice teams to create a culture of learning, coordinate activities, review work, exchange information, resolve problems, and proactively identify opportunities for improvement. The Consultant provides on-site and remote support as providers and their practices work with Select Health Quality Provider Program. This work requires frequent travel as the Consultant visits practices to support with clinical practice improvement and transformation. Provides clinical and nursing expertise and acts as a resource to other Select Health and Intermountain stakeholders who are impacted by QPP initiatives.

• Consults and assesses practice/provider readiness for practice improvement and transformation and assists in clinical process transformation and improvement.
• Supports clinic leadership in the oversight of clinical practice of assigned practices and provides clinical support within assigned sites.
• Provides infrastructure and education to empower providers and care teams to achieve desired clinical transformation outcomes.
• Supports accountability for action items and follow up on improvement plans.
• Meets with practice staff based on action plans for improvement, facilitates ongoing discussions, drives progress, and addresses barriers.
• Proficient in data and terminology necessary for population health management.
• Expert in Healthcare Effectiveness Data and Information Set (HEDIS), National Committee for Quality Assurance (NCQA), & Centers for Medicare & Medicaid Services (CMS) Stars measure specifications and regulatory requirements. Utilizes clinical knowledge and measure set knowledge to develop clinical materials and tools to support quality improvement and practice transformation.
• Research and monitor literature for current best practices. Educates participating practices on best practice related to population health and practice transformation. Develops evidence- based tools for participating practices and trains on use.
• Guide/coach clinics in practice transformation work to implement a medical home/population health delivery model.
• monitor, analyze, and interpret clinical outcomes performance of program participants. Work with clinics to develop action plans for deficiencies.
• Educate clinics providers and staff on clinical measurement and program specifications (quality, total cost of care, satisfaction).
• Sets up contracts with QPP clinics and insurance regulations are being met. Evaluate clinics for contract compliance, address issues as identified and escalate as needed. May meet with legal and reporting to ensure compliance to contracts.
• Works with high level professionals to develop agenda, prepare materials, and organize annual best practice symposium events.
• Audits and reviews accuracy of clinical metrics shared to clinics. Frequent quality assurance audits of measures to ensure accuracy of payout for providers in QPP program.
• Works closely with the Select Health Provider Development team to coordinate provider communication, meetings, outreach, and escalations.
• Responsible to escalate issues and barriers as well as program outcomes to Select Health Senior Leadership.

Minimum Qualifications

• Bachelor’s degree in Nursing (BSN). Degree must be obtained through an accredited institution, which will be verified.
• Current RN license in the State of Utah
• Five years of nursing experience.
• Project management or quality improvement experience
• Experience with basic computer programs, statistical analysis, and quality reviews.
• Experience working in practice transformation.
• Experience working in a high pressure, dynamic, demanding, and ambiguous work environment.
• Leadership experience including achieving results while working with others.
• Experience with change management in large organizations.
• Excellent presentation, interpersonal, and relationship- building skills.
• High level of proficiency creating executive- facing deliverables.

Preferred Qualifications

• Master’s degree in Nursing or a clinical area. Degree must be obtained through an accredited institution, which will be verified.
• Experience working with outpatient clinics.
• Working knowledge of the NCQA requirements for Patient Centered Medical Home.
• Experience consulting within the healthcare setting.
• Experience working directly with physicians including using data to influence physician behavior.
• Ability to analyze and interpret data and provide education to other customers.

Skills

• Leadership
• Performance Metrics
• Clinical Care
• Results-Oriented
• Communication
• Problem Solving
• Taking Initiative
• Analytical Thinking
• Documentation
• Research skills
• Time Management
• Communication Verbal and Written
• Math
• Accountability
• Computer Literacy
• Prioritization
• Quality Assurance
• Attention to Detail
• Collaboration
• Teamwork
• Professional Etiquette

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, clients that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Physical Requirements:

Location:

SelectHealth - Fort Collins, SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$50.22 - $77.53

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.