RN Clinical Performance Advisor

schumacher; Bristol (TN); On-site; USD 100,000 - 140,000; Full time

Job summary

SCP Health is seeking a dedicated professional to represent the organization and support hospital-related patient services. The role focuses on retaining referrals, improving satisfaction, and coordinating quality case management across emergency and facility relations.

Responsibilities include training coordination, physician interview support, and serving as a liaison for Medical Director and Field Operations teams.

Qualifications

• Knowledge of Medicare, Medicaid, and Marketplace lines of business and applicable regulatory requirements.
• Knowledge of relevant state and federal healthcare regulations.
• Intermediate knowledge of healthcare informatics, including clinical quality measures.
• Working knowledge of staff development and the educational process, quality improvement, continuous process/performance improvement methodology, preferred.
• Demonstrated ability to plan, coordinate, and evaluate Quality Assurance (QA) and Performance Improvement (PI) activities.

Responsibilities

• Represent SCP Health, patient services, and the Hospital to ensure retention of existing referral sources, grow new referrals and volumes by enhancing client, PCP, Patient and Provider Satisfaction, as well as Quality Case Management, Emergency Department, and other facility relations.

Skills

Medicare knowledge

Regulatory knowledge

Quality improvement

Healthcare informatics

Staff development

Job description

SCP Health is seeking a dedicated professional to represent the organization and support hospital-related patient services. The role focuses on retaining referrals, improving satisfaction, and coordinating quality case management across emergency and facility relations.

Responsibilities include training coordination, physician interview support, and serving as a liaison for Medical Director and Field Operations teams.