RN - Clinical Community Liaison

Responsibilities

• Build positive, productive relationships with care teams, service providers, and coordinators of support
• Collaborate with the assigned hospitals to develop a trusting partnership with clinical providers and interdisciplinary team members
• Interact clearly and professionally with members and their families while gathering additional information related to their kidney health and build bridges to care navigation
• Collaborate with Quality Practice advisors and Care Navigators to facilitate transition of care hand off at time of discharge
• Facilitate the flow of information, collaborate with the Care Navigation team to enhance care coordination on Healthmap Solutions members
• Identify members timely and coordinates consent and hand off to care navigation
• Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
• Incorporate education and communication on Best Practice sharing for identified areas of provider low performance
• Provide assistance post discharge in identifying areas for process improvement in provider office workflows
• Support operational and clinical stakeholders in the identification, development, and execution of process improvement initiatives
• Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support
• Function as a resource for and identifies opportunities to educate hospital teams on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
• Build strong cross-functional relationships with internal departments and discharge planners
• Maintain thorough documentation of all provider meetings and interactions for consistency and coordination of provider engagement
• Maintain documentation in compliance with National Committee for Quality Assurance (NCQA) standards
• Ensure timely and successful delivery of reports to internal and external stakeholders

Requirements

• Bachelor’s degree in nursing required
• Active, unrestricted RN license required
• 3 years of experience in a health care or managed care setting
• 3 years of experience in claims or gap closure campaigns, preferred
• 3 years of progressive experience in healthcare services, clinical operations, quality, or care management
• Prior experience building and managing relationships with health care providers preferred
• Proof of valid and unrestricted driver’s license required. This position requires travel within assigned region to visit hospital providers
• Same state residency required
• Must be familiar with local healthcare market
• Must comply with organization policies for health screening and immunizations, including but not limited to: Current Tuberculosis (TB) test or current chest X-ray, Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza), Participation in annual health and wellness screenings

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
• Strong critical thinking and analytical skills
• Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

Travel

Heavy Travel, Over 50%