Clinical Nurse Liaison

9 hours ago

Baltimore, Maryland, United States Healthmap Solutions Full time
Job Summary

The Clinical Nurse Liaison is a key role at Healthmap Solutions, responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members. This involves coordinating performance improvement activities and care management to improve health outcomes for our members engaged in our Kidney Management Program.

Key Responsibilities
  • Act as a liaison between Healthmap, provider practices, and Healthmap members to ensure positive engagement and performance with our program(s)
  • Develop new provider/partner business relationships to improve Healthmap provider and member engagement and manage assigned caseload
  • Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider-specific data
  • Incorporate education and communication on best practices, process improvement in provider workflows, Kidney Health Management interventions, and HEDIS/STAR measures for identified areas of provider low performance
  • Partner with physicians/physician staff to identify Healthmap Solutions members who would benefit from Care Navigation support, conduct outreach, and engage members in our program
  • Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
  • Serve as a Healthmap member advocate, utilize community resources and programs, and serve as a liaison between the member, the member's support network, treating physician, and ancillary providers to assist members in meeting individualized goals
  • Accountable for individual and departmental metrics and key performance indicators as identified by the organization
  • Ensure timely and successful delivery of reports to internal and external stakeholders
  • Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards
  • Ensure Healthmap policies and procedures are followed and comply with HIPAA privacy laws and all other federal, state, and local regulations
Requirements
  • Bachelor's degree in Nursing required
  • Active, unrestricted RN license required
  • 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
  • 3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
  • Prior experience building and managing relationships with healthcare providers or patients preferred
  • Proof of valid and unrestricted driver's license required; this position requires regular travel within assigned region to support practices
  • Must reside in assigned state
Skills
  • Excellent verbal, written, and presentation skills
  • Interpersonal skills to develop and maintain strong internal and external relationships
  • Ability to multitask, prioritize, and create solutions in a fast-paced environment
  • Demonstrated leadership skills and ability to create and maintain a positive work environment
  • Strong critical thinking and analytical skills
  • Ability to foster strong employee engagement among the team
  • Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

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