Clinical Care RN: Transitions & Quality Advocate

humana; San Antonio (TX); In loco; USD 70.000 - 95.000; Tempo pieno

Descrizione del lavoro

Humana is seeking a Clinical Care RN to support transitions of care, patient education, and quality improvement in Texas clinic settings. You will analyze data, coordinate post-discharge follow-ups, and partner with interdisciplinary teams to reduce avoidable readmissions and improve Stars ratings.

Responsibilities include outreach via phone/telehealth, documentation per CMS standards, and contributing to population health initiatives across DM, HTN, CHF, and COPD.

Competenze

• ADN or BSN required; TX RN license active.
• Minimum 3 years nursing with transitions of care/quality improvement exposure.
• Proficiency with Athena EMR, DataHub, Compass Rose, Salesforce HealthCloud, and MS Office.

Mansioni

• Analyze clinical data to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs.
• Proactively identify recently discharged patients and coordinate timely post-discharge follow-up per TOC/TCM requirements.
• Conduct outreach via phone, telehealth, and in-clinic visits for education on preventive care and chronic disease management.
• Document outreach and clinical interactions accurately and in CMS-compliant manner.
• Collaborate with providers and care team to implement evidence-based interventions and optimize workflows.

Conoscenze

EHR proficiency

Data analytics

Patient education

Care coordination

Communication

Formazione

ADN or BSN

RN license TX

3+ years nursing

Strumenti

Athena EMR

DataHub

Compass Rose

Salesforce HealthCloud

Microsoft Office

Descrizione del lavoro

Humana is seeking a Clinical Care RN to support transitions of care, patient education, and quality improvement in Texas clinic settings. You will analyze data, coordinate post-discharge follow-ups, and partner with interdisciplinary teams to reduce avoidable readmissions and improve Stars ratings.

Responsibilities include outreach via phone/telehealth, documentation per CMS standards, and contributing to population health initiatives across DM, HTN, CHF, and COPD.