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Clinical Liaison Specialist

2 months ago


New York, New York, United States Healthmap Solutions Full time
Job Summary

The Clinical Nurse Liaison will play a pivotal role in developing and maintaining long-term relationships with healthcare providers and Healthmap Solutions members. This position requires a strong understanding of healthcare operations and a proven ability to build and manage relationships.

Key Responsibilities
  • Act as a liaison between Healthmap Solutions, healthcare providers, and members to ensure positive engagement and performance with our programs.
  • Develop new business relationships with healthcare providers to improve Healthmap Solutions' provider and member engagement.
  • Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider-specific data.
  • Incorporate education and communication on best practices, process improvement, and health interventions for identified areas of provider low performance.
  • Partner with healthcare providers to identify Healthmap Solutions members who would benefit from care navigation support, conduct outreach, and engage members in our programs.
  • Educate Healthmap Solutions members on kidney health, related comorbid conditions, and renal replacement therapy.
  • Serve as a Healthmap Solutions member advocate, utilize community resources, 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 Solutions 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 New York.
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.
  • Proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint.
Compensation and Benefits

Competitive compensation range: $78,000 - $115,000 (dependent on specific market/region as well as experience of the candidate selected).

Benefits: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match, and other voluntary benefits as elected.