Clinical Care RN: Transitions & Quality Champion

Conviva Senior Primary Care; Florida; On-site; USD 71,000 - 98,000; Full time

Job summary

Conviva Senior Primary Care in Florida is seeking a Clinical Care Nurse (RN) to support transitions of care, improve Medicare Advantage Stars ratings, and drive quality outcomes. You will balance direct patient education with data-driven improvements while collaborating with an interdisciplinary team.

The role requires in-center presence, daily 5-day workweeks, and proximity to assigned clinics within Hallandale, FL region. Bilingual English/Spanish and an active Florida RN license are essential.

Qualifications

• Active RN license in Florida.
• 3+ years clinical nursing experience with transitions of care or population health.
• Experience with Athena EMR and data analytics tools.
• Bilingual in English and Spanish.
• Basic Life Support (BLS) certification.

Responsibilities

• Analyze clinical data and trends to identify gaps in care.
• Coordinate post-discharge follow-ups to prevent readmissions.
• Outreach via phone, telehealth, and in-clinic visits for education.
• Assess discharge instructions and medication reconciliation.
• Collaborate with interdisciplinary teams to implement interventions.
• Document outreach and outcomes in CMS-compliant systems.
• Participate in center huddles and high-risk rounds.
• Engage in quality improvement projects.
• Monitor Stars and TOC goals and address barriers.
• Support clinic operations and community education.

Skills

RN license

Bilingual English/Spanish

Data analysis

Quality improvement

Education

ADN or BSN

Tools

Athena EMR

DataHub

Compass Rose

Salesforce HealthCloud

Microsoft Office Suite

Job description

Conviva Senior Primary Care in Florida is seeking a Clinical Care Nurse (RN) to support transitions of care, improve Medicare Advantage Stars ratings, and drive quality outcomes. You will balance direct patient education with data-driven improvements while collaborating with an interdisciplinary team.

The role requires in-center presence, daily 5-day workweeks, and proximity to assigned clinics within Hallandale, FL region. Bilingual English/Spanish and an active Florida RN license are essential.