Quality Improvement RN - Smyrna​/Daytona

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

• 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.

• 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

• 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

• Bachelor’s Degree in Nursing
• 3+ years of managed care experience
• 3+ years of case management experience Bilingual;
  English and Spanish preferred, not required

• 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:
  Hire Vue technology.
• Scheduled weekly hours: 40.
• Pay range: $71,100 - $97,800 per year.
• Eligible for bonus incentive plan based on performance.

Humana offers competitive benefits including medical, dental, vision, 401(k) retirement, paid time off, disability, and life insurance.

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.