Clinical Performance Advisor

About the role

As part of the SCP Health team, you will represent SCP Health, patient services, and the hospital to ensure retention and growth of referrals, enhance client and provider satisfaction, and foster strong relationships across healthcare facilities. This role supports clinical effectiveness and operational efficiency within a leading clinical practice management organization serving over 8 million patients across 30 states.

Responsibilities

• Represent SCP Health and the hospital to retain existing referral sources and grow new referrals by enhancing client, PCP, patient, and provider satisfaction, as well as quality case management and facility relations.
• Support training coordination and orientation for new office staff and patient care providers, including maintaining orientation packets, obtaining computer access, and facilitating facility-specific training.
• Participate in physician interviews and coordinate with the Staffing Operations team to ensure applicants meet with medical directors and tour facilities of interest.
• Act as a professional representative in interactions with hospital personnel at all levels, promoting communication within the hospitalist team and with hospital staff, patients, families, caregivers, administration, nursing, referral sources, and SCP Health corporate team members.
• Serve as the point person and liaison for the program in support of the Medical Director.
• Maintain and cultivate collaborative relationships with key personnel to accomplish organizational and program goals.
• Monitor onsite performance and operational challenges, sharing recommended strategies for improvement with the VP of Clinical Performance Improvement and Field Operations teams.
• Oversee daily practice operations and support program needs related to physician engagement, facility initiatives, and priorities.
• Lead and support daily workflows driving clinical performance initiatives, including throughput/LOS workflows, MDR attendance, physician/patient rounding, provider education, data analysis, and service recovery.
• Recommend and implement improvements to practice KPIs, client, and provider satisfaction as established by SCP Health and client teams.
• Collaborate with the SCP Field Operations team and Medical Director to establish and facilitate standing Hospital Medicine Committee meetings with hospital administration and designated department managers.
• Facilitate engagement with Medical Director(s) to ensure meeting participation, provider recruiting, and retention.
• Be available by phone or pager for emergencies, patient complaints, high-risk situations, and all practice support functions.
• Work with hospital administration to attain key clinical and practice indicators relating to quality, core measures, readmission rates, length of stay, case mix index (CMI), billing/diagnostic coding trends, and daily volume statistics.
• Participate in organizational planning and evaluation of the program in conjunction with the Medical Director and Field Operations team, including collaborative communication, constructive feedback, problem-solving, data analysis, and operational reviews.
• Assist the Medical Director and Field Operations team in developing clinical protocols, order sets, workflows, best practices, and engagement strategies.
• Ensure completion of all site-specific requirements.
• Participate in required corporate meetings, training sessions, organizational pilot programs, and cross-coverage as requested.
• Support value-based care goals and data/information sharing requirements.
• Perform additional duties and responsibilities as requested by the VP of Clinical Performance Improvement and Field Operations team.

Requirements

• Bachelor’s degree in nursing or a healthcare-relevant field (required).
• Master’s degree (preferred).
• 5+ years of experience as a clinician in an acute healthcare setting.
• 3+ years of clinical quality assurance, data analytics, and reporting experience in a managed-care setting.
• Prior case management experience.
• Direct patient care experience; ICU/EM experience (preferred).
• Experience with hospital-based and outpatient clinical quality measures, strategies, and reporting.
• RN certification (required).

Skills

• Knowledge of Medicare, Medicaid, and Marketplace lines of business and applicable regulatory requirements.
• Knowledge of relevant state and federal healthcare regulations.
• Intermediate knowledge of healthcare informatics, including clinical quality measures.
• Working knowledge of staff development, educational processes, quality improvement, and continuous performance improvement methodology.
• Demonstrated ability to plan, coordinate, and evaluate Quality Assurance (QA) and Performance Improvement (PI) activities.
• Understanding of financial and budgeting processes and principles.
• Ability to build effective partnerships within the organization to collaboratively execute business strategies.
• Effective oral and written communication skills.
• Ability to work effectively in a matrixed organization.
• Intermediate Microsoft Office proficiency (Outlook, Excel, PowerPoint).

Benefits

• Comprehensive benefits package including medical, dental, and vision insurance.
• 401(k) plan with company match.
• Paid time off and holidays.
• Professional development support.
• Employee wellness resources.

For more details, visit SCP Benefits (Login: corp-guest, Password: weheal).

Pay

Annual base salary range: $75,280.00 – $111,435.00 USD. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.

Location

Valley Health - Winchester Medical Center (Winchester, Virginia).