Clinical Quality and Risk Liaison RN
Clinical Quality and Risk Liaison RN
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Not Disclosed
Salary Not Disclosed
1 Vacancy
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.
Responsibilities
***This position is hybrid in-clinic/office and work from home within the Bakersfield CA region.
Position Summary:
The Clinical Quality Liaison educates and supports providers and practice sites in improving clinical quality measures and closing gaps in care. Travels to provider sites and clinics 50%-75% of the workweek.
Responsibilities may include:
- Advises and educates providers and practice staff in clinical quality measures medical record documentation and risk coding guidelines.
- Collects summarizes and trends provider performance data to identify opportunities for provider improvement and closing gaps-in-care.
- Supports provider practices in coordinating gaps in care with members.
- Reports provider/clinic specific metrics. Identifies specific practice needs and barriers to clinical quality improvement. Develops action plans to address the needs and barriers in collaboration with providers.
- Performs medical record review or audits as needed.
- Document provider clinic staff member and/or health plan encounters.
- Partners with physicians/physician staff to find ways to explore new ways to encourage member clinical participation in wellness and education.
- Provides resources on clinical quality measures to support providers and clinic staff.
- Communicates with and researches external data sources as needed. Provides communication such as newsletter articles member education outreach interventions.
- Update data and maintain data integrity in the population health platforms and EHR systems.
Qualifications
Minimum Qualifications:
- Minimum of 2 years of relevant clinical experience.
- Clear and current CA Registered Nurse (RN) license.
- Associates of Nursing degree
- Supports quality improvement HEDIS measures and clinical quality initiatives.
- Participates in and represents plan at community health department collaborative and other organizational meetings focusing on quality improvement member education and disparity programs as assigned.
- Demonstrated skills in the areas of written and verbal communication judgment problem-solving presentation and public relations.
Preferred Qualifications:
- 3-5 years of relevant clinical experience preferred.
- Bachelors of Nursing degree preferred.
Employment Type
Unclear
