RN Quality Practice Liaison — Hybrid | Provider Performance

Healthmap Solutions; Orlando (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

Healthmap Solutions seeks a Registered Nurse Quality Practice Advisor to coordinate performance improvement activities, engage providers, and drive initiatives to improve health outcomes for members in collaboration with the Care Navigation team.

The role requires a valid RN license, 6+ years of RN experience (3+ years influencing provider behavior), 3+ years in managed care, and willingness to travel; you will document activities to NCQA standards and educate on HEDIS gaps.

Qualifications

• Bachelor’s degree required; 6+ years of RN experience, including 3+ years in a role influencing provider behavior.
• Active, unrestricted RN license required.
• 3+ years in a managed care setting; 3+ years in gap-closure campaigns; 3+ years in healthcare services, clinical operations, quality, or care management.

Responsibilities

• Develop partnerships with clinical providers and practice locations.
• Identify opportunities to improve health outcomes based on provider data.
• Educate providers on HEDIS measures and open Care Gaps.
• Support process improvement in provider office workflows.
• Collaborate with Care Navigation team to enhance care coordination for Healthmap Solutions members.
• Maintain documentation in compliance with NCQA standards and deliver reports to stakeholders.
• Travel within assigned region to support practices and sites.

Skills

Verbal communication

Interpersonal skills

Multitasking

Critical thinking

Microsoft Office

Education

Bachelor’s degree in nursing

Tools

Microsoft Office

Job description

Healthmap Solutions seeks a Registered Nurse Quality Practice Advisor to coordinate performance improvement activities, engage providers, and drive initiatives to improve health outcomes for members in collaboration with the Care Navigation team.

The role requires a valid RN license, 6+ years of RN experience (3+ years influencing provider behavior), 3+ years in managed care, and willingness to travel; you will document activities to NCQA standards and educate on HEDIS gaps.