RN Quality & Kidney Care Optimization Lead

Healthmap Solutions; Spokane (WA); On-site; USD 105,000 - 130,000; Full time

Job summary

Healthmap Solutions is hiring a Quality Practice Advisor to coordinate performance improvements for Kidney Health Management programs. This role partners with Care Navigation to enhance health outcomes and provider engagement across practices.

The candidate will build relationships, educate on best practices, and support process improvements. Requires an RN license, BLS, and 3+ years in healthcare/quality roles; travel within the region is expected.

Qualifications

• Bachelor’s degree required.
• Active, unrestricted RN license required.
• Basic Life Support (BLS) certification required for all field roles (within 30 days of hire).
• 3 years of experience in a health care or managed care setting.
• 3 years of experience in claims or gap closure campaigns preferred.
• 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management.
• Prior experience building and managing relationships with health care providers preferred.
• Driver’s license valid and automobile insurance as required; regular travel within assigned 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.
• Educate on best practices and improve provider performance.
• Assist in identifying provider office workflow improvements.
• Partner with physicians and staff to identify members who could benefit from Care Navigation.
• Support stakeholders in developing and executing process improvements.
• Improve provider performance in interventions, care gaps, and chronic conditions.
• Educate providers on HEDIS measures and open care gaps.
• Support quality improvement interventions implementation.
• Educate offices on Chronic Kidney Disease, End Stage Renal Disease, and related therapies.
• Build cross-functional relationships with internal departments and provider partners.
• Collaborate with Care Navigation to enhance care coordination for members.
• Maintain thorough documentation of provider meetings and NCQA-compliant records.
• Ensure timely delivery of reports to stakeholders.
• Perform other related duties as assigned.

Skills

Verbal communication

Written communication

Presentation skills

Interpersonal skills

Analytical skills

Microsoft Office

Education

Bachelor’s degree

Tools

Microsoft Office Suite

Job description

Healthmap Solutions is hiring a Quality Practice Advisor to coordinate performance improvements for Kidney Health Management programs. This role partners with Care Navigation to enhance health outcomes and provider engagement across practices.

The candidate will build relationships, educate on best practices, and support process improvements. Requires an RN license, BLS, and 3+ years in healthcare/quality roles; travel within the region is expected.