Quality RN- North and Central Florida Position Available In Duval, Florida

Quality RN- North and Central Florida
Available in 3 locations
Available in 3 locations

Remote Job:

Remote Job:

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Full time
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Conviva Senior Primary Care

Job ID:

R-372174

Associated with 2 categories
Associated with 2 categories Description
Be a part of our caringmunity and help us put health first
The Stars Improvement, Clinical Professional (RN) is responsible for the development, implementation and management oversight of the Primary Care Organization’s Stars Program in the North Florida market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderatelyplex toplex issues w the analysis of situations or data requires an in-depth evaluation of variable factors. The Stars Improvement Clinical Professional (RN):
Collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase the patient oues.
Work is performed within the associate’s assigned center locations and in collaboration with existing Quality Improvement Coordinators and Professionals and in close partnership with market and center teams. The Stars Improvement, Clinical Professional (RN) represents the scope of provider relationships across the following areas: Quality/clinical management and population health HEDIS and Stars performance Operational improvements Financial performance and incentive programs Data sharing and connectivity Documentation and coding Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence Use your skills to make an impact
Required Qualifications Licensed Registered Nurse (RN) without restriction in Florida
5+ years of clinical nursing experience Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement Strong knowledge of HEDIS/Stars/CMS Excellent presentation andmunication skills, both oral and written Strong relationship building skills as this is a provider-facing role
Strong attention to detail with a focus on process and quality Comprehensive knowledge of Microsoft Office applications Preferred Qualification Bachelor’s Degree in Nursing
3+ years of managed care experience 3+ years of case management experience Bilingual; English and Spanish preferred, not required Additional Information Hours for the role are: Monday-Friday 8am-5pm local time zone This role is based within the provider office with regular rotation through each center within the assigned territory. Driver’s License, Reliable Transportation, Insurance This role is part of Humana’s Driver safety program and tfore requires an individual to have:
a valid state driver’s license,
carry insurance in accordance with the state minimum required limits, or $25,000/$25,000/10,000 whichever is higher
and a reliable vehicle.
Tuberculosis (TB) screening: This role is considered member facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Scheduled Weekly Hours
40
Pay Range
Thepensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 – $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based uponpany and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offerspetitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off,pany and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us

About Conviva Senior Primary Care:

Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients’ well-being.
About CenterWell, a

Humanapany:

CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (

NYSE:

HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who aremitted to putting health first – for our teammates, patients,munities andpany. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms ofpensation and selection for training, including apprenticeship, at all levels of employment.
Request an Amodation
If you are an individual with a disability and require a reasonable amodation toplete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for ing, you may contact ADAhumana for assistance.
Employment Fraud Notice
Humana will never ask a candidate for money for work equipment and network access or request access to personal accounts during the application process. Learn more about identifying and preventing employment fraud or report a suspected employment fraud case.
California Resident Applicants
If you are a California resident ing for a position and would like to review our California Applicant Privacy Policy, click : CA Resident Applicant Privacy Policy
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And when you work , you feel it. It’s how you grow. It’s how you’re weed into the associatemunity. It’s what guides us in putting health first. And it forms the connection each of us have for the people we serve.
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