RN Clinical Liaison/Quality Practice Advisor (Hybrid) - Miami-Dade County, FL - Bilingual Spanish

Healthmap Solutions; Miami (FL); On-site; USD 85,000 - 110,000; Full time

Job summary

Healthmap Solutions is seeking a Registered Nurse Quality Practice Advisor to coordinate performance improvement activities, educate providers, and help manage the Kidney Health Management program. This role partners with the Care Navigation team to drive better health outcomes for members.

The ideal candidate holds a Bachelor's degree, an active RN license, 6+ years of RN experience (3+ influencing provider behavior), and willingness to travel within the region.

Qualifications

• Active, unrestricted RN license.
• 6+ years RN experience with 3+ years influencing provider behavior.
• 3+ years in managed care/quality or care management.
• Travel ability; valid driver's license; same-state residency.

Responsibilities

• Coordinate performance improvement activities to engage and educate providers.
• Partner with Care Navigation to improve Kidney Health Management quality.
• Identify opportunities to improve health outcomes based on provider data.
• Educate providers on HEDIS measures and Care Gaps.
• Maintain documentation in NCQA standards; deliver reports to stakeholders.

Skills

Bilingual Spanish/English

Verbal communication

Written communication

Interpersonal skills

Multitasking

Critical thinking

MS Office

Education

Bachelor's degree

Job description

Position Summary

The Registered Nurse 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.

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) standardsEnsure 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 a 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, managing relationships, and influencing 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

• Bilingual Spanish/English required
• 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.

#LI-HYBRID