Clinical Care Nurse (RN)

Conviva Care Solutions; Port Saint Lucie (FL); Sur place; USD 70 000 - 90 000; Plein temps

Résumé du poste

Conviva Care Solutions seeks a Clinical Care RN in Florida to improve patient outcomes through transitions of care, Medicare Advantage Stars and quality performance. You will educate patients, coordinate post-discharge follow-ups and collaborate with providers to prevent readmissions.

Applicants should have ADN or BSN, an active Florida RN license, 3+ years of clinical experience, and proficiency with Athena EMR and data analytics tools. BLS is required.

Qualifications

• Associate's or Bachelor's degree in nursing (ADN or BSN).
• Active, unrestricted RN license in the State of Florida.
• 3+ years' clinical nursing experience with exposure to transitions of care or population health.
• Proficiency with electronic health records and data analytics tools.
• Willingness to complete basic Life Support training.

Responsabilités

• Analyze clinical data to identify gaps in care related to Stars and HEDIS and TOC.
• Identify recently discharged patients and coordinate timely post-discharge follow-up.
• Conduct outreach via phone, telehealth and in-clinic visits for education.
• Address discharge instructions, medication reconciliation, and follow-up adherence.
• Collaborate with interdisciplinary teams to implement interventions and optimize workflows.
• Document outreach and outcomes per CMS standards and participate in quality initiatives.

Connaissances

Clinical nursing experience

Data analytics

Patient education

Formation

Associate's degree in nursing (ADN) -OR- Bachelor's degree in nursing (BSN)

Outils

Athena EMR

DataHub

Compass Rose

Salesforce HealthCloud

Microsoft Office

Description du poste

Become a part of our caring community

The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients across transitions of care to improve patient outcomes.

Clinic locations are available in the following areas: Florida - East and West Port St. Lucie.

As a Clinical Care RN, you will contribute to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily responsibilities with organizational values, integrity, respect, empathy, and commitment to health equity - to enhance patient health outcomes and satisfaction.

Role Scope

• Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention for discharged inpatient, observation and emergency department patients.
• Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.
• Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management, particularly in DM, HTN, CHF and COPD.

Duties and Responsibilities

• Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.
• Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits.
• Conduct targeted patient and provider outreach via phone, telehealth and in-clinic visits to close care opportunities, provide tailored education on preventive care, chronic disease management, and medication management.
• Conduct post-discharge outreach to assess understanding of discharge instructions, bottles-out medication reconciliation, symptom monitoring, and follow-up appointment adherence. Identify and escal...
• Collaborate effectively with interdisciplinary teams, including providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff-to implement evidence-based interventions and optimize workflows.
• Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards.
• Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the center-based and interdisciplinary team.
• Participate in quality improvement projects, provider education sessions, team huddles to stay current with evolving clinical guidelines and organizational priorities.
• Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.
• Support clinic operations through provider collaboration, care coordination, and community education initiatives.
• Coordination and facilitation of center and market-based Wellness Events-focused in-person engagement for Stars care opportunity closures.
• Maintain patient confidentiality in accordance with HIPAA.
• Document patient encounters accurately and timely in the indicated platform (e.g., medical record).
• Follow organizational policies related to safety, infection control, and attendance.
• Perform other duties as assigned.

Use your skills to make an impact

Required Qualifications

• Must meet one of the following requirements: Associate's degree in nursing (ADN) -OR- Bachelor's degree in nursing (BSN).
• Active, unrestricted RN license in the State of Florida.
• 3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management.
• Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, SalesForce HealthCloud - per your prior employer's population health tools), and Microsoft Office Suite.
• Willing and able to complete and maintain Basic Life Support training.

Preferred Qualifications

• Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements.
• Experience with Transitions of Care, hospital discharge or ER follow up programs.
• Strong clinical judgment, data analysis skills, and ability to apply evidence-based