RN Quality Practice Advisor: Care Coordination & Improvement

Healthmap Solutions; Saginaw (MI); Hybrid; USD 75,000 - 110,000; Full time

Job summary

Healthmap Solutions is seeking a Registered Nurse Quality Practice Advisor to coordinate performance improvement activities that educate and engage providers to improve health outcomes for members. The role partners with the Care Navigation team to enhance the Kidney Health Management program.

Required are a Bachelor’s degree, active RN license, and BLS; plus 3+ years in healthcare settings and in gap closure or quality initiatives. Travel within the regional counties is expected.

Qualifications

• Bachelor’s degree required.
• Active, unrestricted RN license required.
• 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.
• Driver’s license and automobile insurance as required by law; regular travel within the region.

Responsibilities

• Develop partnerships with clinical providers and practice locations.
• Identify opportunities to improve health outcomes based on provider data.
• Educate on Best Practice sharing for identified low-performance areas.
• Assist in identifying opportunities for workflow improvements in provider offices.
• Collaborate with physicians and staff to identify members for Care Navigation support.
• Support stakeholders in developing and executing process improvement initiatives.
• Improve provider performance in interventions, care gaps, and chronic conditions.
• Educate providers on NCQA measures and care gaps.
• Develop and implement quality improvement interventions.
• Educate provider offices on CKD, ESRD, and renal therapies topics.
• Build cross-functional relationships with internal departments and provider partners.
• Collaborate with Care Navigation to enhance care coordination.

Skills

Interpersonal skills

Multitasking

Critical thinking

Presentation skills

Microsoft Office

Education

Bachelor’s degree

RN license

Tools

Microsoft Office

Job description

Healthmap Solutions is seeking a Registered Nurse Quality Practice Advisor to coordinate performance improvement activities that educate and engage providers to improve health outcomes for members. The role partners with the Care Navigation team to enhance the Kidney Health Management program.

Required are a Bachelor’s degree, active RN license, and BLS; plus 3+ years in healthcare settings and in gap closure or quality initiatives. Travel within the regional counties is expected.