Clinical Quality and Risk Liaison RN

***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.

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.

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

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.

One Community. One Mission. One California