Clinical Performance Liaison
Clinical Performance Liaison
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Job Description
Overview
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Clinical Performance Liaison (CPL) is an employee of Arizona Care Network doing business as Dignity Health Managed Services Organization a physician support organization owned by Dignity Health.
Responsibilities
***This position is hybrid in-office medical office visits and work from home.
Position Summary:
Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Clinical Performance Liaison (CPL) is an employee of Arizona Care Network doing business as Dignity Health Managed Services Organization a physician support organization owned by Dignity Health.
A Clinical Performance Liaison (CPL) is a valuable resource for the clinical teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department and are responsible for educating our clinicians and their supporting teams in the ambulatory space on the value based arrangements (VBAs) our network supports and also advising these teams on techniques to improve their performance on these VBAs. CPLs must have a strong understanding of care delivery in the ambulatory setting (specifically primary care) the current demands on primary care physicians and their staff and also an ability to interpret clinical data and performance metrics commonly tied to performance in value based contracts (CMS ACO HEDIS NCQA etc.) and Medicare Advantage programs (HCC/RAF). In addition these positions also support our clinicians and their teams on ways to improve the patient experience. Excellent communication skills are critical as the CPL will serve as the subject matter expert and are the primary vehicle for the delivery and discussion around clinical performance with supported clinicians and their operational leads.
Responsibilities may include:
- Serves as the primary interface and liaison for participating physicians and/or facilities of ACN per assigned territory.
- Serves as subject matter expert in network and clinical quality indicatives MIPS/MACRA and other various value based arrangements as well as practice participation status within the network.
- Responsible for successful implementation and utilization of various communication and utilization tools available to CAN providers such as Secure Messaging Secure Portal referral management solutions performance rewards solutions and HIE interfaces.
- Coordinates between network practices and ACN network support team to ensure maintenance of participating practices physician/provider roster within assigned territory.
- Coordinates assists and attends provider POD meetings and practice manager forums as scheduled.
- Responsible for promoting training and sustaining various ACN initiatives technology systems identified by ACN and new payer partnerships.
- Provides guidance and education on MACRA/MIPS to participating practices relative to their participation status in ACN.
- Interpretation of value-based score cards for multiple VBAs.
- Aggregation of clinical data including network utilization/coordination into dashboards and other vehicles for distribution to practices and physician groups.
- Creation and implementation of educational materials which support our clinicians and their teams on understanding clinical quality measures network utilization and care coordination (tip sheets tool kits presentations etc.).
- Educates and trains physicians and staff on details and critical success factors for Clinical Integration payer contracts.
- In partnership with the Clinical Services Leadership for ACN development of quality improvement programs to meet the needs of their supported medical practices.
- Understanding of coding and billing workflows to improve performance on VBA quality measures and importance of accurate HCC recapture and RAF scoring.
- Assistance in the GPRO education and submission process.
- Leading of practice meetings to review performance and implement quality improvement initiatives with key stakeholders and network leaders through ACN.
- Serves as key partner with clinical leaders (such as Directors of Quality Clinical Operations Medical Directors and CMOs) through the network to identify opportunities for improvement and drive network improvement in key areas such as quality cost of care care coordination network coordination patient/consumer experience.
- Assistance in the rollout of ACN sponsored clinical IT platforms within ACN ambulatory practices (online registries ACO portals online referral platforms etc.).
- Close collaboration with ACN Care Coordination staff to assist them in direct patient assistance and consultation.
- Close collaboration with ACN Network and Provider departments to continuously monitor and updated providers in network status.
- Regular Specialist and primary care practice on site visits.
Qualifications
Minimum Qualifications:
- 3 years required of clinical administration background (ie: medical offices clinics hospitals health plans).
- Bachelors Degree or 5 years of related job or industry experience in lieu of degree.
Preferred Qualifications:
- Bachelors degree in health administration public health or related field preferred.
- Clinical degree/certification (RN LPN MA or similar) preferred.
- 5 years preferred of clinical administration background (ie: medical offices clinics hospitals health plans) preferred.
- At least 5 or more years working in a medical office clinic hospital or other relevant healthcare setting with 3 or more years clinical nursing experience or a combination of both preferred.
Employment Type
Unclear
