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    Clinical Nurse Liaison - Boise, ID, US, United States - Healthmap Solutions

    Healthmap Solutions
    Healthmap Solutions Boise, ID, US, United States

    3 weeks ago

    Default job background
    Healthcare
    Description
    Position Summary


    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.

    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 that serve as means to better Healthmap provider and member engagement and manage assigned caseload
    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
    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 complies with HIPAA privacy laws and all other federal, state, and local regulations
    Perform other related duties as assigned

    Requirements

    Associate degree in nursing minimum requirement
    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 health care 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 (Idaho)

    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

    Moderate Travel:
    Day travel, up to 25%% % %%mednurse%%
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