Clinical Care RN: Transitions & Quality Improvement

Conviva Care Solutions; Port Saint Lucie (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Clinical nursing experience

Data analytics

Patient education

Education

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

Tools

Athena EMR

DataHub

Compass Rose

Salesforce HealthCloud

Microsoft Office

Job description

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.