Clinical Care RN: Elevate Transitions & Quality (FL)

Conviva Senior Primary Care; Port Saint Lucie (FL); On-site; USD 71,000 - 98,000; Full time

Benefits offered by this job

Competitive benefits package

Bonus incentive plan

Job summary

Conviva Senior Primary Care is seeking a dedicated Clinical Care Nurse (RN) to support safe transitions of care and improve Medicare Advantage Stars and quality performance. This on-site role involves analyzing data, coordinating post-discharge follow-up, and educating patients on chronic disease management across DM, HTN, CHF, and COPD.

You will collaborate with interdisciplinary teams, document interventions, and participate in quality improvement initiatives to enhance patient outcomes and

Qualifications

• ADN or BSN with active, unrestricted Florida RN license.
• 3+ years clinical nursing experience with transitions of care or population health.
• Proficiency with EHRs and data analytics tools listed above.
• Willing to complete and maintain BLS training.

Responsibilities

• Analyze clinical data to identify gaps in care related to Stars and HEDIS.
• Coordinate post-discharge follow-up to prevent readmissions and ED visits.
• Outreach to patients and providers via phone, telehealth, and in-clinic visits.
• Educate on preventive care, chronic disease management, and med reconciliation.
• Document outreach and outcomes in compliance with CMS and policies.
• Participate in quality improvement and care coordination activities.

Skills

Transitions of Care

Data analysis

EHR data platforms

Microsoft Office

Education

ADN or BSN

Tools

Athena EMR

DataHub

Compass Rose

Salesforce HealthCloud

Microsoft Office Suite

Job description

Conviva Senior Primary Care is seeking a dedicated Clinical Care Nurse (RN) to support safe transitions of care and improve Medicare Advantage Stars and quality performance. This on-site role involves analyzing data, coordinating post-discharge follow-up, and educating patients on chronic disease management across DM, HTN, CHF, and COPD.

You will collaborate with interdisciplinary teams, document interventions, and participate in quality improvement initiatives to enhance patient outcomes and