Clinical Quality Liaison RN

Welcome to CommonSpirit Health Mountain Region

CommonSpirit Health Mountain Region is committed to building healthier 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. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

Overview

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 work week. The Clinical Quality Liaison provides education and training to provider organization on how to improve clinical and patient outcomes, provides information on HEDIS measures, and ensure feedback is relayed on documenting appropriate medical record documentation and appropriate coding.

Assists in resolving deficiencies impacting compliance to meet State and Federal standards for HEDIS. Supports the development and implementation of quality improvement interventions and audits.

• 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.• Performs other duties as assigned.• Executes PHSO strategy and delivers on standards set by central function.

Physical Requirements-Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)

Qualifications

In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:

• Required or equivalent work experience of 2 years related HEDIS record collection and measures improvement with analytical review/evaluation and / or Quality Improvement. Experience in data and chart reviews to provide consultation and education to providers and provider staff.
• Associate’s or bachelor’s degree in nursing, but a Registered Nurse (RN) licensure required
• Registered Nurse (RN) licensure required
• 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.

Physical Requirements-Sedentary Work - prolonged periods of sitting and exert/lift up to 10 lbs. force occasionally)

Your Connected Community

We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. 

Our Total Reward Offerings

We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer: 

• Several Medical, Dental, & Vision options.
• Spending Accounts including a Dependent Care FSA that can include an employer contribution
• Retirement account options with a generous employer match
• Tuition Reimbursement
• Student Loan Forgiveness, and so much more!

View more on our benefits HERE.

Pay Range