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Clinical Liaison Nurse

2 months ago


Boise, Idaho, United States Healthmap Solutions Full time
Job Summary

The Clinical Nurse Liaison is a key member of the Healthmap Solutions team, responsible for developing and maintaining long-term relationships with healthcare providers and patients. This role requires strong communication and interpersonal skills, as well as the ability to multitask and prioritize in a fast-paced environment.

Key Responsibilities
  • Provider Relations: Act as a liaison between Healthmap Solutions, healthcare providers, and patients to ensure positive engagement and performance with our programs.
  • Business Development: Develop new business relationships with healthcare providers and manage assigned caseload to improve Healthmap Solutions' provider and member engagement.
  • Health Outcomes: Identify opportunities to improve health outcomes for Healthmap Solutions' members based on provider-specific data and incorporate education and communication on best practices, process improvement, and health interventions.
  • Care Navigation: Partner with healthcare providers to identify patients who would benefit from care navigation support, conduct outreach, and engage patients in our programs.
  • Patient Education: Educate patients on kidney health, related comorbid conditions, and renal replacement therapy.
  • Advocacy: Serve as a patient advocate, utilize community resources and programs, and serve as a liaison between the patient, their support network, treating physician, and ancillary providers to assist patients in meeting individualized goals.
  • Metrics and Reporting: Accountable for individual and departmental metrics and key performance indicators as identified by the organization and ensure timely and successful delivery of reports to internal and external stakeholders.
  • Documentation and Compliance: Maintain thorough documentation of all provider meetings/interactions and patient interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards.
  • Regulatory Compliance: Ensure Healthmap Solutions' policies and procedures are followed and comply with HIPAA privacy laws and all other federal, state, and local regulations.
Requirements
  • Education: Associate degree in nursing minimum requirement.
  • Licensure: Active, unrestricted RN license required.
  • Experience: 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management.
  • 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.