Clinical Practice Advisor (RN/LPN/NP/PA/ARNP) $10k Sign-On Bonus
Company: Healthmap Solutions
Location: Syracuse
Posted on: May 16, 2022
Job Description:
Company BackgroundHealthmap Solutions (Healthmap) is an
NCQA-accredited industry leading kidney population health
management company. Healthmap uses big data resources, integrated
advanced technology, clinical expertise, and complex care
management to improve the lives of people living with kidney
disease. Healthmap also helps healthcare providers and payers
achieve the value-based results they need. Our company is a diverse
and growing organization committed to our clients, the patients we
support, and our employees.We are champions for better health, for
those who need us most.Position SummaryThe Clinical Practice
Advisor will work under the direction of the Director of Clinical
Services and be responsible for the design and management of
clinical and quality activities related to onboarded providers
within a defined geographic area. In partnership with the Provider
Relationship Manager, enhances and maintains the provider
relationship with clinical and quality interventions and is jointly
accountable for meeting the operational and quality objectives of
the program.
The Clinical Practice Advisor is responsible for the oversight of
daily assignments, workflows and ensures consistency in
interventions supporting our clients. This position will closely
partner with Provider Relations and Care Management teams to
improve the quality of the Kidney Health Management clinical
program.Responsibilities
- Collaborates with onboarded providers to identify patients that
would benefit from program interventions and refers eligible
patients to care navigation.
- Partners with physicians/physician staff to find ways to
encourage member clinical participation in wellness and
education.
- Shares insights and analytic reporting results to practices for
patient behavior modification opportunities to result in improved
quality of life and cost savings.
- Collects, summarizes, trends, and delivers provider quality and
risk adjustment performance data to identify and strategize/coach
on opportunities for provider improvement and care gap closure
- Collaborates with Provider Relations Manager to improve
provider performance in areas of Quality, Risk Adjustment, and
Operations.
- Educates providers and supports provider practice sites
regarding the National Committee for Quality Assurance (NCQA) HEDIS
measures and risk adjustment.
- Supports the development and implementation of quality
improvement interventions.
- Provides communication such as white papers, member education,
outreach interventions, and provider education.
- Identify and resolve operational challenges using defined
processes, expertise, and judgment relevant to the client, patient,
and team needs
- Handles client outreach and successful communication to and
from providers, balancing excellent customer service with
efficiency
- Provides accurate monitoring of patient/physician compliance
with guidelines and recommendations, providing deliverables,
conducting outreach, and maintaining provider profiles
- Builds strong cross-functional relationships with internal
departments and provider partners and practice staff
- Maintains and documents all applicable practice/patient updates
and follow up communications
- Ensures timely and successful delivery of reports to internal
and external stakeholders.
- Performs proficiently in all competency areas including but not
limited to customer and client needs, patient dynamics, and
analytically driven data reporting
- Performs other related duties as assignedRequirements
- RN/LPN with valid licensure required
- 3+ years of progressive experience in healthcare services
clinical operations directly leading to revenue growth from
targeted population health, CKD & ESRD preferred
- 3 years of experience in claims or gap closure campaigns
- 3 years of experience in the clinical setting or managed care
setting and patient-driven customer service and interaction is
required
- Per Healthmap's HR Security Policy, this position is considered
HY (high risk for PHI and may require additional
training/screening)
- Work from home within commutable range of region, city, or
state
- Proof of valid and unrestricted driver's license required, with
proof of insurance
- Same state residency required
- Proof of full Covid-19 vaccinationWhat You Bring to the Team
- Excellent presentation skills, interpersonal skills as well as
excellent written and verbal communication skills to the target
audience.
- Strong relationship-building skills, multitasking,
prioritization, and solutions-oriented.
- Strong strategic thinking, critical thinking, analytical
ability, verbal and written communication skills to the target
audience.
- Metrics-driven ability to understand key goals from the program
and understand reporting results to communicate areas of
opportunity to physicians and/or office staff for behavior
modifications.
- Must be proficient in Microsoft Office: Outlook, Word, Excel,
PowerPointWhy Join Healthmap Solutions?Be a Champion for Better
Health: Healthmap Solutions is transforming the kidney population
health management industry and improving the healthcare experience
for patients. Healthmap has a proven formula for driving success
for its clients and patients.Unmatched Expertise in Mapping a
Healthier Future: Healthmap Solutions uses proprietary algorithms,
big data, and personalized interactions to drive better health
outcomes for patients and value-based care for health
plans.Exciting Opportunities: Healthmap is poised for hyper growth
and needs talent with vision to see the future state and
willingness to jump in and build it.Meaningful Partnerships:
Healthmap Solutions has been recognized as a top employer by
numerous media and professional organizations. Talented, passionate
individuals make the difference in this fast-moving, collaborative,
diverse, and inspiring environment.Growth and Innovation: At
Healthmap, we are just getting started. Come grow with us and
support our mission to make a tangible difference in the lives of
our members.The road to better kidney health management starts with
Healthmap Solutions.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.
Keywords: Healthmap Solutions, Syracuse , Clinical Practice Advisor (RN/LPN/NP/PA/ARNP) $10k Sign-On Bonus, Healthcare , Syracuse, New York
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