Qureos Mentor

Healthmap Solutions

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 Position Summary
 
 
 
 
 The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap&rsquo;s Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.
 
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 Responsibilities&nbsp;
 
 
 
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 Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
 
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 Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseload
 
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 Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
 
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 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
 
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 Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.&nbsp;
 
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 Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program&nbsp;
 
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 Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy &nbsp;
 
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 Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member&rsquo;s support network, treating physician, and ancillary providers to assist members in meeting individualized goals
 
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 Accountable for individual and departmental metrics and key performance indicators as identified by the organization
 
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 Ensure timely and successful delivery of reports to internal and external stakeholders
 
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 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&nbsp;
 
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 Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulations
 
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 Perform other related duties as assigned
 
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 Requirements
 
 
 
 
 
 
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 Bachelor's degree required
 
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 Active, unrestricted RN license required
 
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 Basic Life Support (BLS) certification required
 
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 Advanced Cardiovascular Life Support (ACLS) certification (based on role)
 
 
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 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
 
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 3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
 
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 Prior experience building and managing relationships with health care providers or patients preferred
 
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 Proof of valid and unrestricted driver&rsquo;s license required; this position requires regular travel within assigned region to support practices
 
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 Must reside in one of the assigned states
 
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 Must comply with organization policies for health screening and immunizations, including but not limited to:
 
 
 
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 Current Tuberculosis (TB) test or current chest X-ray
 
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 Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
 
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 Participation in annual health and wellness screenings
 
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 Skills
 
 
 
 
 
 
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 Excellent verbal, written and presentation skills
 
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 Interpersonal skills to develop and maintain strong internal and external relationships&nbsp;
 
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 Ability to multitask, prioritize, and create solutions in a fast-paced environment
 
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 Demonstrated leadership skills and ability to create and maintain a positive work environment
 
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 Strong critical thinking and analytical skills&nbsp;
 
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 Ability to foster strong employee engagement among the team
 
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 Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
 
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 Bilingual preferred - Spanish, Creole, and/or Mandarin
 
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 Heavy Travel, greater than 50%, across your assigned region.
 
 &nbsp;Compensation range: $105
 
 ,000
 
 - $143,000 (dependent on specific market/region as well as experience of the candidate selected).&nbsp;&nbsp;&nbsp;
 
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 Benefits: Competitive: Paid Time Off, Medical, Dental, Vision, Short Term/Long Term Disability, 401K with match and other voluntary benefits as elected.
 
 
 
 
 
</div>

Clinical Nurse Liaison

Join Healthmap Solutions and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Healthmap Solutions

ABOUT_COMPANY

Clinical Nurse Liaison

Clinical Nurse Liaison