Become a part of our caring community and help us put health first

The Quality RN Professional collaborates with market leadership and quality improvement team to develop and implement programs designed toimprovepatient outcomes. Work is performed within the associates primary center location and in collaboration with existing Quality Improvement Coordinators and Professionals and in close partnership with market and center interaction is required for this role and is completed both telephonically and through in-person visits for activities such as patient education point-of-care testing and screenings as needed (including Retinavue eye exams HgA1c draws etc).

The Quality RN Professional represents the scope of provider relationships across the following areas:

• Quality/clinical management and population health
• HEDIS and Stars performance
• Operational improvements
• Data sharing and connectivity
• Documentation and coding
• Additional areas related to provider performance member experienceprovider experience and operational excellence

Use your skills to make an impact

Required Qualifications

• Licensed Registered Nurse (RN) without restriction in applicable state
• 5 years of clinical nursing experience which can be a combination of LPN and RN experience

Preferred Qualification

• Strong knowledge of HEDIS/Stars/CMS
• Bachelors Degree in Nursing
• 3 years of managed care experience
• 3 years of case management experience
• Bilingual; English and Spanish preferred not requiredunless otherwise specified
• Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement
• 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

Additional Information

• Hours for the role: Monday-Friday 8am-5pm local time zone
• This role is based within the provider office withoccasionalrotation through other centers within the assigned territory.

TB Statement

This role is considered patient facing and is part of Humanas Tuberculosis (TB) screening program. If selected for this role you will be required to be screened for TB.

Driving Statement

This role is part of CenterWells driver safety program and therefore requires an individual to have a valid state drivers license and are expected to maintain personal vehicle liability must carry vehicle insurance in accordance with their residing state minimum required limits or $25000 bodily injury per person/$25000 bodily injury per event /$10000 for property damage or whichever is higher.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.

$71100 - $97800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.

About Us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive preventive care to seniors including wellness visits physical exams chronic condition management screenings minor injury treatment and more. As part of CenterWell Senior Primary Care Convivas innovative value-based approach means each patient gets the best care when needed most and for the lowest cost. We go beyond physical health addressing the social emotional behavioral and financial needs that can impact our patients well-being.

About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional well-being all from day one.

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. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.