RN Clinical Liaison & Quality Improvement Advisor

Jobvite, Inc.; Tampa (FL); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Healthmap Solutions is seeking a Quality Practice Advisor to coordinate performance improvement activities, educate providers, and enhance the Kidney Health Management program. This role partners with the Care Navigation team and requires significant travel within the Tampa Bay area, with a hybrid work model.

Qualified candidates will hold an active RN license, a Bachelor's degree, BLS, and several years in healthcare or managed care.

Qualifications

• Bachelor’s degree required.
• Active, unrestricted RN license required.
• BLS certification required within 30 days of hire.
• 3 years healthcare or managed care experience.
• 3 years claims or gap closure campaigns preferred.
• 3+ years progressive experience in healthcare services, clinical operations, quality, or care management.
• Prior experience building relationships with health care providers preferred.
• Proof of valid driver's license and automobile insurance; regular travel within region.
• Same state residency required.

Responsibilities

• Develop a trusting partnership with clinical providers and practice locations.
• Identify opportunities to improve health outcomes based on provider 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 NCQA standards.
• Ensure timely and successful delivery of reports to internal and external stakeholders.
• Perform other related duties as assigned.

Skills

Verbal communication

Written communication

Presentation skills

Interpersonal skills

Multitasking

Analytical thinking

Microsoft Office

Bilingual Spanish/English

Education

Bachelor's degree

Job description

Healthmap Solutions is seeking a Quality Practice Advisor to coordinate performance improvement activities, educate providers, and enhance the Kidney Health Management program. This role partners with the Care Navigation team and requires significant travel within the Tampa Bay area, with a hybrid work model.

Qualified candidates will hold an active RN license, a Bachelor's degree, BLS, and several years in healthcare or managed care.