Quality Improvement/HEDIS RN - Pinellas Park, FL

Conviva Senior Primary Care - Pinellas Park, FL

Job Title: Quality Improvement/HEDIS RN - Pinellas Park, FL

Position: Nursing Role in Quality Improvement

Job Type: Full Time

Pay: $71,100 - $97,800 per year

Shift: Monday-Friday, 8 AM-5 PM local time zone

Work Type: On-Site

Location

Address:

City: Pinellas Park

State: FL

ZIP Code:

Job Responsibilities

Collaborate with market leadership and quality improvement team to develop and implement programs designed to increase patient outcomes.
Work within assigned center locations in collaboration with existing Quality Improvement Coordinators and Professionals.
Partner closely with market and center teams.
Manage quality/clinical management and population health HEDIS and Stars performance.
Implement operational improvements and financial performance programs.
Facilitate data sharing and connectivity.
Ensure proper documentation and coding.
Address additional areas related to provider performance, member experience, market growth, provider experience, and operational excellence.

Required Skills

Core Skills

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
Strong attention to detail with a focus on process and quality
Comprehensive knowledge of Microsoft Office applications

Preferred Skills

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

Requirements

Experience: 5+ years of clinical nursing experience.

Education: Bachelor’s Degree in Nursing preferred.

License & Certification:

Licensed Registered Nurse (RN) in Florida

Schedule:

Not specified

COVID-19 Requirements: Not Specified

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off, company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Opportunities for personal wellness and smart healthcare decisions

Supplemental Pay

Eligible for a bonus incentive plan based upon company and/or individual performance.

Special Notes

This role requires a valid state driver's license, reliable transportation, and insurance in accordance with state minimum required limits.
Participants are also required to undergo a Tuberculosis (TB) screening.
Humana follows an equal opportunity employer policy.

Facility Details

Name: Conviva Senior Primary Care

Description: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Specialties:

Senior Primary Care
Chronic Condition Management
Preventive Care

Mission: CenterWell creates experiences that put patients at the center, focusing on whole-person health by addressing the physical, emotional and social wellness of patients.