Clinical Nurse Liaison

4 weeks ago

Idaho Falls, Idaho, United States HealthMap Solutions LLC Full time
Job Summary

The Clinical Nurse Liaison will develop and maintain long-term relationships with physicians, physician office staff, and Healthmap members to ensure positive engagement and performance with our program(s).

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
  • 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 program
  • Educate Healthmap members on kidney health, related comorbid 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
  • Associate degree in nursing minimum requirement
  • Active, unrestricted (ID) 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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