Quality Improvement RN - New Smyrna/Daytona Join to apply for the Quality Improvement RN - New Smyrna/Daytona role at Conviva Senior Primary Care
Base pay range $71,100.00/yr - $97,800.00/yr
Responsibilities Collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase the patient outcomes.
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.
Scope of Role 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
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 and communication 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 Qualifications 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 safety program: a valid state driver's license, insurance in accordance with state minimum required limits, or $25,000/$25,000/10,000 whichever is higher, and a reliable vehicle.
TB screening required.
Interview format: HireVue technology.
Scheduled weekly hours: 40.
Pay range: $71,100 - $97,800 per year.
Eligible for bonus incentive plan based on performance.
Benefits Humana offers competitive benefits including medical, dental, vision, 401(k) retirement, paid time off, disability, and life insurance.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions.