Position Summary
The Registered Nurse Quality Practice Advisor/Clinical Nurse Liaison is responsible for coordinating performance improvement activities to engage, educate, and manage activities to improve the health outcomes of Healthmap Solutions members. This position will closely partner with the Care Navigation team to improve the quality of the Kidney Health Management clinical program.
Responsibilities
- Develop a trusting partnership with clinical providers and practice locations
- Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
- Incorporate education and communication on Best Practice sharing for identified areas of provider low performance
- Provide assistance in identifying areas for process improvement in provider office workflows
- Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support
- Support operational and clinical stakeholders in the identification, development, and execution of process improvement initiatives
- Improve provider performance in areas such as Healthmap Solutions Interventions, Care Gaps, and Chronic Conditions
- Educate providers on HEDIS measures and open Care Gaps
- Support the development and implementation of quality improvement interventions
- Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
- Build strong cross-functional relationships with internal departments and provider partners and practice staff
- Collaborate with the Care Navigation team to provide and receive information to enhance care coordination on Healthmap Solutions members
- Maintain thorough documentation of all provider meetings and interactions for consistency and coordination of provider engagement
- Maintain documentation in compliance with National Committee for Quality Assurance (NCQA) standards
- Ensure timely and successful delivery of reports to internal and external stakeholders
- Perform other related duties as assigned
Requirements
- Bachelor’s degree required; 6+ years of RN experience including 3+ years in a position that influences provider behavior may be considered in lieu of degree
- Active, unrestricted, RN license required
- 3 years of experience in managed care setting, preferred
- 3 years of experience 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
- Proof of valid and unrestricted driver’s license required and automobile insurance as required by law; this position requires regular travel within assigned region to support practices and or other healthcare/clinical sites as needed
- Same state residency required
- Must be able to successfully comply with the credentialing process
Skills
- Excellent verbal, written and presentation, skills
- Interpersonal skills to develop and maintain strong internal and external relationships
- Ability to multitask, prioritization, and create solutions in a fast-paced environment
- Strong critical thinking and analytical skills
- Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
Compensation Range: $110,000 - $140,000 (dependent on specific market/region as well as experience of the candidate selected) plus bonus & potential incentive eligibility
Benefits: Competitive Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
Travel (Majority of Travel in NYC)
Heavy Travel, over 50%, to support practices in an assigned geographic market.
#LI-HYBRID
Skills Required
- Bachelor's degree
- Active, unrestricted Registered Nurse license
- Basic Life Support certification within 30 days of hire for field roles
- At least 3 years of experience in a healthcare or managed care setting
- At least 3 years of progressive experience in healthcare services, clinical operations, quality, or care management
- Valid, unrestricted driver's license and automobile insurance as required by law
- Same-state residency
- Current tuberculosis test or chest X-ray
- Proof of required immunizations, including Hepatitis B, MMR, Varicella, COVID-19, and Influenza
- Participation in annual health and wellness screenings
- Proficiency in Microsoft Office, Outlook, Word, Excel, and PowerPoint
- At least 3 years of experience in claims or gap-closure campaigns
- Experience building and managing relationships with healthcare providers
What We Do
Healthmap Solutions (Healthmap) is a NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees. We are champions for better health, for those who need us most.








