Healthmap Solutions is hiring a Clinical Nurse Liaison - Healthmap Solutions Careers

Healthmap Solutions is hiring a Clinical Nurse Liaison to champion better health outcomes for our Kidney Management Program members. In this role, you will develop and maintain long-term partnerships with physicians, their office staff, and our members to coordinate performance improvement and care management activities.

What You'll Do

• Act as a key liaison between Healthmap, provider practices, and members to ensure positive program engagement.
• Develop new provider relationships and manage your assigned caseload to improve member health outcomes.
• Identify and act on opportunities for improvement using provider-specific data.
• Educate providers on Best Practices, process improvement, Kidney Health Management interventions, and HEDIS/STAR measures.
• Provide education on Chronic Kidney Disease, End Stage Renal Disease, and Renal Replacement Therapies.
• Partner with physicians and their staff to identify members for Care Navigation support and conduct member outreach.
• Educate Healthmap members on kidney health, co-morbid conditions, and renal replacement therapy options.
• Advocate for members, connect them with community resources, and serve as a liaison between members, their support network, and providers.
• Be accountable for individual and departmental metrics and key performance indicators.
• Ensure timely delivery of reports to internal and external stakeholders.
• Maintain thorough documentation of all provider and member interactions in compliance with NCQA standards.
• Adhere to Healthmap policies and procedures and comply with HIPAA and all other federal, state, and local regulations.

What We're Looking For

• Bachelor's degree in Nursing.
• Active, unrestricted RN license.
• Basic Life Support (BLS) certification.
• Advanced Cardiovascular Life Support (ACLS) certification (role-dependent).
• 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management.
• Valid and unrestricted driver's license.
• Must reside in your assigned state.
• Compliance with organization health screening and immunization policies, including TB test/chest X-ray and proof of Hepatitis B, MMR, Varicella, COVID-19, and Influenza immunizations.
• Participation in annual health and wellness screenings.

Nice to Have

• 3 years of experience in care gap closure or care coordination activities, ideally in an outpatient or hospital setting.
• Prior experience building and managing relationships with healthcare providers or patients.

Technical Stack

• Microsoft Office: Outlook, Word, Excel, PowerPoint

Benefits & Compensation

• Salary range: $105,000 - $138,000 (dependent on specific market/region and candidate experience).
• Paid Time Off.
• Medical, Dental, and Vision insurance.
• Short Term/Long Term Disability coverage.
• 401K with company match.
• Other voluntary benefits as elected.

Work Mode

This position follows a hybrid work model.

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.