Clinical Nurse Liaison Specialist
2 weeks ago
Join Healthmap Solutions LLC as a Clinical Nurse Liaison and play a vital role in our Kidney Management Program. As a key member of our team, you will be responsible for developing and maintaining strong relationships with healthcare providers, their staff, and our members.
Responsibilities:- Act as a liaison between Healthmap Solutions, provider practices, and our members to ensure positive engagement and performance with our program(s).
- Develop new provider/partner business relationships to enhance Healthmap provider and member engagement.
- Identify opportunities to improve health outcomes for our members based on provider-specific data.
- Partner with physicians/physician staff to identify 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, utilizing community resources and programs, and serve as a liaison between the member, their 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.
- 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.
- 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.
- Proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint.
Moderate travel, up to 25%.
Americans with Disability Specifications: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy.
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