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    Registered Nurse, Hospital Liaison, Home Health - Huntsville, AL, United States - Healthmap Solutions

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    Full time
    Description

    The Clinical Nurse Liaison is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap's Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.

    Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
    Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
    Incorporate 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 performance

    Identify 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 program
    Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
    Serve as Healthmap member advocate, utilize community resources and programs, and serve as 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
    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 complies with HIPAA privacy laws and all other federal, state, and local regulations
    Associate degree in nursing minimum requirement
    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 health care providers or patients preferred
    this position requires regular travel within assigned region to support practices
    Ability to foster strong employee engagement among the team
    Must be proficient in

    Microsoft Office:
    Outlook, Word, Excel, PowerPoint
    Moderate Travel, up to 25%
    #


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