RN - Clinical Nurse Liaison - Southern California

Company: Healthmap Solutions
Location: San Diego
Posted on: September 2, 2024

Job Description:

Position SummaryThe Clinical Nurse Liaison is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmaps Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.ResponsibilitiesAct 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 that serve as means to better Healthmap provider and member engagement and manage assigned caseloadIdentify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific dataIncorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performanceIdentify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in programEducate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapyServe as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the members support network, treating physician, and ancillary providers to assist members in meeting individualized goalsAccountable for individual and departmental metrics and key performance indicators as identified by the organizationEnsure timely and successful delivery of reports to internal and external stakeholdersMaintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standardsEnsure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulationsPerform other related duties as assignedRequirementsBachelors degree in Nursing requiredActive, unrestricted RN license required3+ years of progressive experience in healthcare services, clinical operations, quality, or care management3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferredPrior experience building and managing relationships with health care providers or patients preferredProof of valid and unrestricted drivers license required; this position requires regular travel within assigned region to support practicesMust reside in assigned stateBilingual English/Spanish preferredSkillsExcellent verbal, written and presentation skillsInterpersonal skills to develop and maintain strong internal and external relationshipsAbility to multitask, prioritize, and create solutions in a fast-paced environmentDemonstrated leadership skills and ability to create and maintain a positive work environmentStrong critical thinking and analytical skillsAbility to foster strong employee engagement among the teamMust be proficient in Microsoft Office: Outlook, Word, Excel, PowerPointModerate Travel, up to 25%, in the Southern California area.Compensation range: $79,000 - $120,000 (dependent on specific market/region as well as experience of the candidate selected).Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.#LI-HYBRIDby Jobble

Keywords: Healthmap Solutions, San Diego , RN - Clinical Nurse Liaison - Southern California, Healthcare , San Diego, California