×
Register Here to Apply for Jobs or Post Jobs. X

Clinical Competency & Quality Nurse

Remote / Online - Candidates ideally in
Carson City, Douglas County, Nevada, 89702, USA
Listing for: Humana Inc
Full Time, Remote/Work from Home position
Listed on 2026-06-02
Job specializations:
  • Nursing
    Clinical Nurse Specialist, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 78400 - 107800 USD Yearly USD 78400.00 107800.00 YEAR
Job Description & How to Apply Below

Become a part of our caring community Job Summary

Clinical Competency, Remediation, Onboarding and Talent Management

The Care Integration Clinical Competency & Quality Nurse is a Center of Excellence (CoE) position responsible for ensuring the clinical quality and provider & patient engagement effectiveness for the Clinical Care RN role through nursing chart and recorded visit audits, competency assessments, remediation oversight and talent management. This role bridges clinical excellence with operational leadership, conducting structured audits, and driving remediation for clinical competency gaps (in partnership with Education team support).

You will report to the Director of Physician Strategy.

Must reside in a commutable distance to a Center Well or Conviva PCO market location. As needed travel will be required within the market.

Role Scope Clinical Competency & Oversight

Conduct and oversee clinical competency audits for nursing staff (Clinical Care RN); support remediation in partnership with Center of Excellence leaders and Education team

Clinical Competency & Oversight tooling

Develop audit tools, processes, and remediation approaches in partnership with the Medical Director, Care Integration Team & High Risk Patient Management Program

Onboarding & Talent Management

Initial interview and assessment of Clinical Care RN candidates; maintenance of onboarding design and process adherence (in partnership with Center Administrators)

Duties and Responsibilities Clinical Competency & Auditing
  • Develop and maintain clinical competency audit tools and processes aligned with organizational standards and evidence-based best practices
  • Conduct clinical competency audits of RN documentation, clinical decision-making, and patient care practices; perform targeted reviews of charts and recorded successful patient contacts
  • Conducts regular audits on each nurse at prescribed cadence
  • Develop remediation approaches for nurses identified with clinical competency gaps; oversee and monitor remediation execution in collaboration with market operators and Education team.
  • Audit rounds/huddle quality; provide coaching to nurses on case presentation skills.
Nursing Staff Development & Recruitment
  • Support onboarding processes and tools for RNs, in partnership with Stars CoE Program Leads; coordinate with Education team for onboarding activities
  • Develop standard job descriptions and competency frameworks for nursing roles
  • Create and maintain interview guides and recruitment processes; establish guardrails for opening requests (capacity, geography, leader approval)
  • Conduct first-round interviews for Clinical Care RN and project manage talent acquisition process
Use your skills to make an impact

Required Qualifications
  • Bachelor's Degree in Nursing (BSN)
  • Active, unrestricted RN license
  • 5+ years of clinical nursing experience with experience in transitions of care or population health management
  • Strong clinical judgment and ability to apply evidence-based practices
  • Proficiency with EMR and care management platforms (any system)
Preferred Qualifications
  • Master's degree in Nursing, Business Administration, or Healthcare Management
  • Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements
  • Experience in clinical competency assessment, audit development, or compliance oversight
  • Proficiency with electronic health records (Athena EMR), data analytics platforms (Data Hub), and Microsoft Office Suite
  • Familiarity with Sales Force, Genesys, and operational platform tools
  • Experience recruiting, interviewing, and onboarding for clinical roles
  • Basic Life Support (BLS) certification
Working Conditions Workstyle

Hybrid

Location

Must reside in a commutable distance to a Center Well or Conviva PCO market clinic. As needed travel will be required within the market.

Hours

Monday–Friday, 8:00 AM–5:00 PM; additional time may be required for program improvement projects or strategic initiatives

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is…

To View & Apply for jobs on this site that accept applications from your location or country, tap the button below to make a Search.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).
 
 
 
Search for further Jobs Here:
(Try combinations for better Results! Or enter less keywords for broader Results)
Location
Increase/decrease your Search Radius (miles)
0
200
Filters
Education Level
Experience Level (years)
Posted in last:
Salary