Clinical Nurse Liaison - San Diego, CA

Description

Position at Healthmap Solutions

Company Background

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

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

Must comply with organization policies for health screening and immunizations, including but not limited to :

Skills

Heavy Travel, greater than 50%, in your assigned region.

Compensation range : $115,000 - $137,000 (dependent on specific market / region as well as experience of the candidate selected). + Bonus Incentive Eligibility

Benefits : Competitive : Paid Time Off, Medical, Dental, Vision, Short Term / Long Term Disability, 401K with match and other voluntary benefits as elected.

Americans with Disability Specifications

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity / expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.