HCA, Hospital Corporation of America Clinical Nurse Consultant in Richmond, Virginia
Position Summary:Registered nurse who will provide nurse consultant assistance to providers within the VCP network. This support will include, but not limited to, monitoring of progress towards network goals, gap management, practice transformation to improve process flows, transitions of care for identified populations, and care coordination to drive quality and cost outcomes for the attributed populations.
Virginia Care Partners is an innovative, physician-led network collaborating to change the way healthcare is delivered in the Richmond and Tri-cities area. Network members include primary care and specialty physicians and the nationally recognized HCA Virginia facilities. Measureable quality care; patient, physician and staff satisfaction; and efficient, coordinated care with the patient at the center of care are goals of the network. Network physicians, who want to meet the demands of an industry that is moving from fee for service to fee for value, are committed to improving care delivery that enhances the health and lives of our patients. If you are an interested in being part of a forward-thinking team working at the forefront of payment reform, then apply today!
Major Responsibilities: • Assess assigned practice workflows and processes that are in place to close gaps in care, make outreach to patients for transitions of care, and the ability to perform care coordination activities and then assist with improving those processes to achieve the desired results within the network. • Identify attributed patients who benefit from care coordination and work with practice to effectively manage the high risk, high cost, and high utilizers. • Assist with referring to appropriate ancillary services such as payer specific CM/DM programs, BH resources, pharmacist support, and other resources as identified. • Assist assigned practices with managing their populations that can include, but not limited to, specific chronic diseases, high ER utilizers, medication compliance, and other identified areas of focus. • Assist and perform transitions of care on the identified populations. • Meet with practices both virtually and onsite to engage practice with network and develop a plan to work towards the identified network goals. • Monitor practice progress on an ongoing basis, which may include analysis of data and identifying opportunities for improvement. • Identifies problematic issues, determines reasons and actions taken to resolve, and escalates appropriately; working with the medical director directly for providers/practices who are difficult to engage, are not performing as expected, and for patients who are difficult to manage/high cost. • Communicates clearly, regularly and effectively with all levels and functions to create an atmosphere of mutual respect, openness and encouragement. • Maintains the confidentiality of the meetings attended. • Builds rapport and establishes credibility with the physician leadership and members.
Education and Experience:
• Registered Nurse Required. • Case management experience preferred. • Knowledge of primary care practice process preferred • Experience with evaluating and monitoring data around quality metrics preferred.
Knowledge, Skills, & Abilities
• Proficiency with MS Word, Excel, and Power Point required. Experience with SharePoint preferred. • Adaptability – Maintaining effectiveness when experiencing major changes in work tasks or the work environment; adjusting effectively to work within new work structures, processes, requirements, or cultures. • Customer orientation - Establish and maintain long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations • Tactical execution - Effectively manage the project controls of complex processes • Energy – Consistently maintaining high levels of activity or productivity; operating with vigor, effectiveness, and determination over extended periods of time • Managing Conflict – Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people. • Ability to work independently; resourceful and proactive • Clear and confident communicator internally and with members/external partners • Confident public speaking abilities • Passionate about improving the healthcare system • Unyielding attention to detail • Ability to travel within the Richmond Metro/Tri-Cities region
Title: Clinical Nurse Consultant
Location: Virginia-Richmond-Virginia Quality Care Partners
Requisition ID: 26479-35197