RN: Transitions of Care & Quality Improvement

Humana, Inc.; Middleburg (VA); Presencial; USD 71.000 - 98.000; Tempo integral

Resumo da vaga

The Clinical Care Nurse (RN) role at Humana Conviva Senior Primary Care is clinic-based and focuses on improving patient outcomes through safe Transitions of Care, reductions in avoidable ED utilization, and driving Medicare Advantage Stars and quality performance.

You will analyze data from Athena EMR and DataHub, coordinate post-discharge follow-ups, and educate patients on preventive care, chronic disease management, and medication management while collaborating with the care team to close

Qualificações

• RN with ADN or BSN required.
• Active, unrestricted RN license in Florida.
• 3+ years in clinical nursing with TOC/quality improvement exposure.
• Proficiency with EMR and data analytics tools and MS Office.
• Willing to complete Basic Life Support.

Responsabilidades

• Analyze clinical data to identify gaps in care related to Stars, HEDIS and TOC.
• Coordinate post-discharge follow-ups to prevent readmissions.
• Conduct outreach via phone, telehealth and in-clinic visits for education and care closure.
• Document outreach and outcomes in system per HIPAA and CMS requirements.
• Collaborate with providers and care teams to implement interventions and improve workflows.
• Participate in center huddles, high-risk rounds and quality improvement projects.

Conhecimentos

EHR proficiency

Data analytics

Microsoft Office

Formação

ADN or BSN

Ferramentas

Athena EMR

DataHub

Compass Rose

SalesForce HealthCloud

Descrição da vaga

The Clinical Care Nurse (RN) role at Humana Conviva Senior Primary Care is clinic-based and focuses on improving patient outcomes through safe Transitions of Care, reductions in avoidable ED utilization, and driving Medicare Advantage Stars and quality performance.

You will analyze data from Athena EMR and DataHub, coordinate post-discharge follow-ups, and educate patients on preventive care, chronic disease management, and medication management while collaborating with the care team to close