Clinical Nurse Liaison - Boise, ID

Healthmap Solutions - Boise, ID

Job Title: Clinical Nurse Liaison - Boise, ID

Position: Liaison with healthcare providers and members in the Kidney Management Program

Job Type:

Pay:

Shift:

Work Type: On-Site

Location

Address:

City: Boise

State: ID

ZIP Code:

Job 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

Required Skills

Core 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
Proficiency in Microsoft Office: Outlook, Word, Excel, PowerPoint

Preferred Skills

Experience building and managing relationships with health care providers or patients

Requirements

Experience: 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 preferred

Education: Bachelor's degree in Nursing required

License & Certification:

Active, unrestricted RN license required
Basic Life Support (BLS) certification required
Advanced Cardiovascular Life Support (ACLS) certification (based on role)

Schedule:

Moderate Travel, up to 25%

COVID-19 Requirements: Must comply with organization policies for health screening and immunizations, including proof of COVID-19 vaccination

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

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.

Facility Details

Name: Healthmap Solutions

Description: A company focused on specialty health management, particularly in kidney health populations, utilizing clinical big data resources and analytics.

Specialties: