Clinical Quality Liaison RN

CommonSpirit Health
  • Centennial, CO
    9 days ago

    Job Description

    Job Summary and Responsibilities

    As our Clinical Quality Liaison RN, you will educate and support providers and practice sites in improving clinical quality measures and closing gaps in care by traveling to sites 50%-75% of the work week.

    Every day you will advise and train provider organizations on HEDIS measures, medical record documentation, and risk coding. You will collect and trend performance data, support gap closure coordination, develop action plans to address barriers, and actively participate in quality improvement interventions and audits, ensuring compliance with State and Federal HEDIS standards.

    To be successful in this role, you will be a Registered Nurse with expertise in HEDIS measures and risk coding, strong communication and educational skills, and a proven ability to analyze data, develop action plans, and foster collaborative relationships with providers to drive clinical quality improvement and execute PHSO strategy.

    • 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 gapsincare.

    • 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.

    Job Requirements

    Required

    • Registered Nurse (RN) licensure
    • Two (2) years related HEDIS record collection and measures improvement with analytical review/evaluation and/or Quality Improvement, or equivalent work experience
    • Experience in data and chart reviews to provide consultation and education to providers and provider staff

    Preferred

    • Associate's or Bachelor's degree in nursing

    Where You''ll Work

    With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

    Total Rewards

    Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

    Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

    Numbers & Facts

    LocationCentennial, CO

    Skills

    • Analysis Skillsunmatched
    • Communication Skillsunmatched
    • Data Analysisunmatched
    • Dental Insuranceunmatched
    • Documentationunmatched
    • Gap Closureunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • Healthcare Qualityunmatched
    • Hospitalunmatched
    • Life Insuranceunmatched
    • Maintain Complianceunmatched
    • Medical Codingunmatched
    • Medical Recordsunmatched
    • Metricsunmatched
    • Needs Assessmentunmatched
    • Nursingunmatched
    • Prescription Drugsunmatched
    • Process Improvementunmatched
    • Quality Managementunmatched
    • Registered Nurse (RN)unmatched
    • Riskunmatched
    • Risk Analysisunmatched
    • Team Playerunmatched
    • Trend Analysisunmatched
    • Tuition Reimbursementunmatched
    • Vision Planunmatched
    • Willing to Travelunmatched

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Resume Builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Resume Builder