RN - Quality Practice Advisor/Clinical Nurse Liaison

Healthmap Solutions is the future of specialty health management, focusing on progressive diseases with expertise in kidney health populations. We use clinical big data and high-powered analytics to power complex specialty health management programs. We are a diverse, growing company committed to our clients and employees, championing better health for those who need us most.

About the role

The Registered Nurse Quality Practice Advisor coordinates performance improvement activities to engage, educate, and manage initiatives that improve the health outcomes of Healthmap Solutions members. This role partners closely with the Care Navigation team to enhance the quality of the Kidney Health Management clinical program.

Responsibilities

• Develop trusting partnerships with clinical providers and practice locations
• Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider-specific data
• Incorporate education and communication on best practice sharing for areas of provider low performance
• Assist in identifying areas for process improvement in provider office workflows
• Partner with physicians and staff to identify members who would benefit from Care Navigation support
• Support operational and clinical stakeholders in process improvement initiatives
• Improve provider performance in areas such as Healthmap Solutions interventions, care gaps, and chronic conditions
• Educate providers on HEDIS measures and open care gaps
• Support the development and implementation of quality improvement interventions
• Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, and Renal Replacement Therapies
• Build strong cross-functional relationships with internal departments and provider partners
• Collaborate with the Care Navigation team to enhance care coordination for members
• Maintain thorough documentation of all provider meetings and interactions
• Ensure documentation complies with National Committee for Quality Assurance (NCQA) standards
• Deliver reports to internal and external stakeholders in a timely manner
• Perform other related duties as assigned

Requirements

• Bachelor’s degree required
• Active, unrestricted RN license required
• Basic Life Support (BLS) certification required (within 30 days of hire)
• 3 years of experience in a healthcare 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 healthcare providers (preferred)
• Valid and unrestricted driver’s license and automobile insurance as required by law
• Regular travel within assigned region to support practices and clinical sites
• Same-state residency required
• Compliance with organization policies for health screening and immunizations, including:
  • Current Tuberculosis (TB) test or 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
• Strong interpersonal skills to develop and maintain internal and external relationships
• Ability to multitask, prioritize, and create solutions in a fast-paced environment
• Strong critical thinking and analytical skills
• Proficiency in Microsoft Office: Outlook, Word, Excel, PowerPoint

Schedule

Heavy travel, over 50%, to support practices in the Eastern and Northern Region of Michigan.

Physical Demands

The physical demands described are representative of those required to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.