
location_on1769, San Jacinto Street, Downtown, Houston, Harris County, Texas, 77002, United States
The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients across transitions of care to improve patient outcomes.
Conviva clinic locations may be available in the following areas: Houston, TX (Hiram Clarke).
As a Clinical Care RN, you will contribute to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily responsibilities with organizational values, integrity, respect, empathy, and commitment to health equity – to enhance patient health outcomes and satisfaction.
CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.
CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM).
This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings. The position is clinic-based with a 5-day workweek, Monday through Friday, 8:00 AM–5:00 PM, though additional time may be required. Candidates must reside in the designated market area within a reasonable commuting distance to the assigned clinic.
As this role is patient-facing, it is part of Humana's Tuberculosis (TB) screening program. If selected, you will be required to be screened for TB. Additionally, this role is part of Humana's driver safety program; therefore, you must have a valid state driver's license and maintain personal vehicle liability insurance in accordance with your residing state's minimum required limits or specific coverage thresholds.
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.
Skills: RN License, Basic Life Support, Athena Emr, Datahub, Salesforce Healthcloud, Microsoft Office Suite, Medicare Advantage Stars, Hedis, Cahps, CMS.
Education: Associate's degree in nursing (ADN) required; Bachelor's degree in nursing (BSN) required.
Work model: On-site
1769, San Jacinto Street, Downtown, Houston, Harris County, Texas, 77002, United States
Houston, Texas
Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements. Experience with Transitions of Care, hospital discharge or ER follow up programs. Strong clinical judgment, data analysis skills, and ability to apply evidence-based practices. Excellent communication and motivational interviewing skills to educate and empower members. Commitment to health equity, inclusiveness, and patient-centered care. Bilingual in English and Spanish with full professional proficiency. Basic Life Support trained.
HUMANA, headquartered in Louisville, Kentucky, operates in the insurance industry with a focus on enhancing member well-being through tailored healthcare solutions. The company designs adaptable services to address individual, family, and community health needs, emphasizing innovation and accessibility in evolving healthcare landscapes. By developing resources that empower people to manage their health on their terms, HUMANA aims to simplify complex healthcare experiences while prioritizing personalized care.
The organization values its workforce as a critical component of its mission, seeking professionals dedicated to customer-centric outcomes. Employees are encouraged to contribute expertise and passion toward creating impactful, whole-person health strategies. With a commitment to evolving solutions, HUMANA supports diverse communities by delivering healthcare resources aligned with individual preferences and local requirements.
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