RN Quality & Care Improvement Liaison

Healthmap Solutions; Richland (WA); Hybrid; USD 105,000 - 130,000; Full time

Job summary

Healthmap Solutions is seeking a Quality Practice Advisor to coordinate performance improvement activities aimed at enhancing health outcomes for members. The role partners with the Care Navigation team to strengthen the Kidney Health Management program and provider engagement across practices.

Responsibilities include collaborating with clinical staff, educating on best practices, and leading quality improvement initiatives. Travel up to 50% within the assigned region is expected.

Qualifications

• Bachelor’s degree required
• Active, unrestricted RN license required
• Basic Life Support (BLS) certification within 30 days of hire
• 3 years of experience in a health care or managed care setting
• 3+ years in healthcare services, clinical operations, quality, or care management
• Driver’s license and travel within region required
• Residency in same state required

Responsibilities

• Develop a trusting partnership with clinical providers and practice locations
• Identify opportunities to improve health outcomes based on provider data
• Educate on Best Practice sharing for identified gaps
• Assist in identifying areas for workflow improvement in provider offices
• Partner with physicians and staff to identify members for Care Navigation support
• Support stakeholders in implementing process improvement initiatives
• Improve provider performance in Healthmap Solutions Interventions, Care Gaps, and Chronic Conditions
• Educate providers on HEDIS measures and open Care Gaps
• Support development and implementation of quality improvement interventions
• Educate provider offices on Chronic Kidney Disease and related topics
• Build cross-functional relationships with internal departments and provider partners
• Collaborate with Care Navigation to enhance care coordination
• Maintain documentation of provider meetings for coordination
• Maintain NCQA-compliant documentation
• Ensure timely delivery of reports to stakeholders
• Perform other duties as assigned

Job description

Healthmap Solutions is seeking a Quality Practice Advisor to coordinate performance improvement activities aimed at enhancing health outcomes for members. The role partners with the Care Navigation team to strengthen the Kidney Health Management program and provider engagement across practices.

Responsibilities include collaborating with clinical staff, educating on best practices, and leading quality improvement initiatives. Travel up to 50% within the assigned region is expected.