Clinical Care RN — Transitions of Care & Quality

CenterWell

Surprise (AZ)

Sur place

USD 71 000 - 98 000

Plein temps

Il y a 12 jours

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Résumé du poste

CenterWell is seeking a Clinical Care RN to improve patient outcomes through effective Transitions of Care, post-discharge follow-up, and data-driven quality initiatives. You will engage patients and providers, educate on disease management, and collaborate with care teams to reduce avoidable readmissions and ED utilization.

The role requires in-center clinic work in Arizona, with daily navigation of CMS quality measures and Star ratings.

Qualifications

  • Must hold an active, unrestricted RN license in Arizona.
  • Bachelor's or Associate degree in nursing (BSN/ADN) as required.
  • Minimum 3+ years nursing experience with transitions of care, quality improvement, or population health.
  • Proficiency with electronic health records (e.g., Athena EMR) and data analytics tools.
  • Willingness to complete and maintain Basic Life Support training.

Responsabilités

  • Coordinate transitions of care post-discharge to prevent readmissions.
  • Identify care opportunities and conduct outreach to patients and providers.
  • Educate patients on chronic disease management and preventive care.
  • Collaborate with interdisciplinary teams to implement evidence-based interventions.
  • Document outreach activities and outcomes in the medical record.

Connaissances

RN license
Nursing degree
Transitions of care
Data analysis
MS Office

Formation

ADN
BSN

Outils

Athena EMR
DataHub
Compass Rose
Salesforce HealthCloud
Microsoft Office Suite

Description du poste

CenterWell is seeking a Clinical Care RN to improve patient outcomes through effective Transitions of Care, post-discharge follow-up, and data-driven quality initiatives. You will engage patients and providers, educate on disease management, and collaborate with care teams to reduce avoidable readmissions and ED utilization.

The role requires in-center clinic work in Arizona, with daily navigation of CMS quality measures and Star ratings.

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