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  1. Home
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  5. Clinical Care Nurse
Humana logo

Clinical Care Nurse

Not Disclosed•Full-TimeOn-site

location_on1769, San Jacinto Street, Downtown, Houston, Harris County, Texas, 77002, United States

Apply Now

Become a Part of Our Caring Community

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.

About CenterWell Senior Primary Care

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).

Work Environment & Requirements

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.

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.

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Skills, education and keywords

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.

Frequently asked questions about Clinical Care Nurse at Humana

What does a Clinical Care Nurse at Humana do?expand_more
Day-to-day, the Clinical Care Nurse at Humana will analyze clinical data from athena emr and datahub to identify care gaps related to stars, hedis, and transitions of care; perform medication reconciliation and assess patient understanding of discharge instructions and symptom monitoring; collaborate with interdisciplinary teams to implement evidence-based interventions and optimize care workflows; and document all clinical interactions, outreach efforts, and outcomes accurately in compliance with cms regulatory standards.
What are the requirements for this Clinical Care Nurse role?expand_more
Humana is looking for candidates who meet the following requirements: Associate's degree in nursing (ADN) or Bachelor's degree in nursing (BSN); Active, unrestricted RN license; 3+ years clinical nursing experience; Proficiency with electronic health records (e.g., Athena EMR); Proficiency with data analytics tools (e.g., DataHub); and Proficiency with Microsoft Office Suite.
Where is the Clinical Care Nurse role at Humana located?expand_more
Clinical Care Nurse at Humana is based in 1769, San Jacinto Street, Downtown, Houston, Harris County, Texas, 77002, United States. This is a on-site role.

Work location

Work model: On-site

location_on

1769, San Jacinto Street, Downtown, Houston, Harris County, Texas, 77002, United States

Houston, Texas

Key Responsibilities

  • check_circleAnalyze clinical data from Athena EMR and DataHub to identify care gaps related to Stars, HEDIS, and Transitions of Care
  • check_circlePerform medication reconciliation and assess patient understanding of discharge instructions and symptom monitoring
  • check_circleCollaborate with interdisciplinary teams to implement evidence-based interventions and optimize care workflows
  • check_circleDocument all clinical interactions, outreach efforts, and outcomes accurately in compliance with CMS regulatory standards
  • check_circleMonitor progress toward Stars and Transitional Care Management goals and develop solutions to improve clinical performance
  • check_circleCoordinate timely post-discharge follow-up for inpatient, observation, and emergency department patients to prevent readmissions
  • check_circleConduct targeted patient and provider outreach via phone, telehealth, and in-clinic visits to close care opportunities
  • check_circleParticipate in center huddles and high-risk rounds to discuss patient progress and care strategies
  • check_circleFacilitate center and market-based Wellness Events to engage patients and close care opportunities
  • check_circleDeliver culturally appropriate chronic disease education for conditions such as diabetes, hypertension, CHF, and COPD

Requirements

  • verifiedAssociate's degree in nursing (ADN) or Bachelor's degree in nursing (BSN)
  • verifiedActive, unrestricted RN license
  • verified3+ years clinical nursing experience
  • verifiedProficiency with electronic health records (e.g., Athena EMR)
  • verifiedProficiency with data analytics tools (e.g., DataHub)
  • verifiedProficiency with Microsoft Office Suite
  • verifiedBasic Life Support training

Nice to Have

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.

Benefits & Perks

check_circleMedical, dental, and vision benefitscheck_circle401(k) retirement savings plancheck_circlePaid time off, company holidays, and personal holidayscheck_circleVolunteer time offcheck_circlePaid parental and caregiver leavecheck_circleShort-term and long-term disability insurancecheck_circleLife insurancecheck_circleBonus incentive plan based on company and individual performance
Humana cover image
Humana logo
Company

Humana

Industry

Insurance

Headquarters

Louisville, Kentucky

Open Roles

6

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.
View company profilearrow_forwardlanguageWebsitelinkLinkedIn
Quick Overview

Experience

3+ yrs (Mid Level)

Education

Associate's degree in nursing (ADN) required

Job Type

Full-Time

Skills Required

RN LicenseBasic Life SupportAthena EmrDatahubSalesforce HealthcloudMicrosoft Office Suite
arrow_forward
Is this Clinical Care Nurse job remote, hybrid, or on-site?expand_more
Humana has listed this Clinical Care Nurse role as on-site.
How much experience is required for this Clinical Care Nurse role?expand_more
Clinical Care Nurse at Humana typically requires 3+ years of relevant experience at the mid level level.
What skills do you need for the Clinical Care Nurse role at Humana?expand_more
Key skills for Clinical Care Nurse at Humana include RN License; Basic Life Support; Athena Emr; Datahub; Salesforce Healthcloud; Microsoft Office Suite; Medicare Advantage Stars; and Hedis.
What education is required for Clinical Care Nurse at Humana?expand_more
Educational requirements for this role: Associate's degree in nursing (ADN) required; and Bachelor's degree in nursing (BSN) required.
What category does the Clinical Care Nurse role belong to?expand_more
Clinical Care Nurse at Humana is part of the healthcare & nursing job category on Recrutus.

About Humana

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.

Browse more roles: All Humana jobs, healthcare & nursing jobs on Recrutus.

Recrutus

Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

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Job seekers
Browse jobsCompanies hiringRemote jobsJobs by locationJobs by cityJobs by categoryCareer guidesCareer blogSalary insights
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Contractor jobsFull-Time jobsIntern jobsOther jobsPart-Time jobsPer-Diem jobsTemporary jobs
Top states
Jobs in TexasJobs in New YorkJobs in CaliforniaJobs in FloridaJobs in North CarolinaJobs in TennesseeAll states →
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CDL A jobsRegistered Nurse jobsBLS jobsEnglish jobs
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About usFAQContactPrivacy policyUS privacy notice

Recrutus helps candidates discover roles that match their skills and helps teams reach qualified applicants faster. Browse by metro, discipline, or work style — from internships to senior leadership.

© 2026 Recrutus. All rights reserved.
Terms of serviceCookie policyAcceptable useDMCA policyEmployer termsCandidate terms
Medicare Advantage Stars
Hedis
Cahps
CMS
Accessibility