Clinical Care RN - Transitions, Stars & Quality

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

Job summary

Conviva Care Solutions is seeking a Clinical Care RN in Florida to support transitions of care, reduce avoidable ED visits, and improve Medicare Advantage Stars scores. You will balance patient education with data-driven quality work, and engage patients and providers in post-discharge follow-up.

The role emphasizes collaboration with interdisciplinary teams, documentation compliance, and participation in quality initiatives to boost outcomes and satisfaction.

Qualifications

• Must have ADN or BSN.
• Active RN license in the State of Florida.
• 3+ years clinical nursing with exposure to transitions of care or population health.
• Proficient with EHRs and analytics tools listed, and MS Office.
• Willing to complete and maintain Basic Life Support training.

Responsibilities

• Analyze clinical data to identify gaps in care related to Stars and HEDIS measures and transitions of care.
• Identify recently discharged patients and coordinate timely post-discharge follow-up per TOC/TCM requirements.
• Conduct outreach via phone, telehealth, and in-clinic visits to educate and manage preventive care and chronic disease.
• Document encounters accurately and timely in the medical record, in line with HIPAA and CMS standards.
• Collaborate with providers and care teams to implement interventions and improve workflows.
• Participate in quality improvement projects and center huddles to stay current with guidelines.

Skills

Clinical nursing

Transition of care

Quality improvement

Data analytics

BLS training

Education

ADN or BSN degree

Tools

Athena EMR

DataHub

Compass Rose

SalesForce HealthCloud

Microsoft Office

Job description

Conviva Care Solutions is seeking a Clinical Care RN in Florida to support transitions of care, reduce avoidable ED visits, and improve Medicare Advantage Stars scores. You will balance patient education with data-driven quality work, and engage patients and providers in post-discharge follow-up.

The role emphasizes collaboration with interdisciplinary teams, documentation compliance, and participation in quality initiatives to boost outcomes and satisfaction.