Clinical Performance Advisor

At SCP Health what you do matters

As part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare facilities SCP Health is a leader in clinical practice management spanning the entire continuum of care including emergency medicine hospital medicine wellness telemedicine intensive care and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration courage agility and respect.

**Competitive Sign On Bonus Available**

Responsibilities:

• Represent SCP Health patient services and the Hospital to ensure retention of existing referralsources grow new referrals and volumes by enhancing client PCP Patient and Provider Satisfaction as well as Quality Case Management Emergency Department and other facility relations.
• Support training coordination and orientation process of new office staff and all patient care providers including but not limited to maintaining current orientation packets obtaining computer access and any facility specific training.
• Participate in physician interviews and coordinate with the Staffing Operations team to ensure applicants meet with the medical directors and tour all facilities of interest.
• Act as a professional representative in dealing with all levels of hospital and staff personnel and promote communication within the hospitalist team and with hospital staff patients/families caregivers administration nursing staff referral sources care management and SCP Health corporate team members.
• Serve in support of the Medical Director as point person and liaison for the program.
• Ensure accomplishment of organizational and program goals by maintaining and cultivating collaborative relationships with key personnel.

• Monitor onsite performance operational challenges and share recommended strategies for improvement and efficiencies to the VP of Clinical Performance Improvement and the Field Operations teams.
• Oversee daily practice operations and support the needs of the program related to physician engagement facility initiatives and priorities.
• Lead and support daily workflows designed to drive clinical performance initiatives. These include but not limited to daily throughput/LOS workflows MDR attendance physician/patient rounding provider education data analysis and service recovery.
• Recommend and implement improvements to the practice as it relates to KPIs and Client & Provider Satisfaction as established by both the SCP Health and client teams.
• In collaboration with the SCP Field Operations team Medical Director establish and facilitate standing HM Committee meetings between Hospital Administration designated facility department managers and SCP Health HM representatives (include ED representatives if contract includes both).
• Facilitate engagement of HM Medical Director(s) to result in meeting participation provider recruiting and retention.
• Availability by phone or pager for emergencies patient complaints high-risk patients or situations and all practice support functions.
• Work with hospital administration to attain the groups key clinical and practice indicators relating to quality core measures readmission rates length of stay case mix index (CMI) billing/diagnostic coding trends and daily volume statistics.
• Participate in organizational planning and evaluation of the program in conjunction with Medical Director and Field Operations team with collaborative communication constructive feedback problem solving data analysis operational reviews.
• Meet regularly and assist Medical Director and Field Operations team in development of clinical protocols order sets workflows best practices engagement etc.
• Ensure completion of all site-specific requirements.
• Participate in required corporate meetings training sessions organizational pilot programs and cross coverage as requested.
• Maintain a positive and professional attitude appearance and always conduct and adhere to all HIPAA requirements.

• Support value-based care goals and data/information sharing requirements.
• Additional duties and responsibilities as requested by VP of Clinical Performance Improvement and Field Operations team.

Knowledge Skills and Abilities:

• Business Development: The ability to anticipate the needs of our internal and external partners make recommendations and be responsive.
• Communication:The ability to effectively and consistently communicate both verbally and in writing in clinical and non-clinical environments.

• Change Capable:The ability to inspire others to navigate and progress through change by providing vision the why and feedback mechanisms.
• Critical Thinking: The ability to be proactive; anticipate needs; evaluate incomplete ambiguous information using good judgement to make decisions.
• Executive Presence:The ability to inspire confidence and be a courageous leader others want to follow. Set a personal example of optimism poise partnership and professionalism.
• Negotiating:Reach consensus through credibility and collaborative partnerships.
• Relationship Building:The ability to create and maintain strong and effective relationships among hospital partners dyad/triad partners and team members at all levels (C-Suite Sound and Team).
• Teamwork:The ability to collaborate pull people together into highly effective teams.
• Knowledge of relevant state and federal healthcare regulations.
• Intermediate knowledge of healthcare informatics including clinical quality measures.
• Experience working in a matrixed organization.
• Understanding of financial and budgeting processes and principles.
• Intermediate Microsoft Office proficiency (i.e. Outlook Excel and PowerPoint)

EDUCATION:

• Bachelors degree in nursing or healthcare relevant field required.
• Masters degree preferred.

FIELD OF STUDY:

• Nursing

WORK EXPERIENCE/QUALIFICATIONS:

• 5 years experience as a clinician in an acute healthcare setting.
• 2 years experience leading and managing teams and/or processes.
• Direct patient care experience ICU/EM experience (preferred)
• Case management experience.
• Knowledge of Medicare Medicaid and Marketplace lines of business and applicable regulatory requirements.
• 3 years of clinical quality assurance data analytics and reporting experience in a managed-care setting.
• Must have critical thinking and healthcare analytics experience.
• Ability to work both independently and as part of a team with minimal supervision.
• Experience with hospital-based and outpatient clinical quality measures strategies and reporting.
• Experience with process optimization problem solving strategic and analytic skills.
• Experience working with cross-functional teams organizing and managing multiple priorities and projects.
• Proficient or advanced skills in Word Excel PowerPoint Outlook virtual communication platforms and data warehouse/large data analysis
• Effective oral and written communication skills and proficiency in basic computer skills required.
• Working knowledge of staff development and the educational process quality improvement continuous process/performance improvement methodology preferred.
• Demonstrated ability to plan coordinate and evaluate Quality Assurance (QA) and Performance Improvement (PI) activities preferred.
• Current unrestricted nursing license BSN preferred.

CERTIFICATES AND LICENSES:

• RN required

PRIMARY LOCATION:

• Corpus Christie TX; CHRISTUS Spohn Hospital Corpus Christi - Shoreline