quality improvement nurse

Grace Health

<div><p><b>Clinical Support Nurse Coordinator | $1,000 Sign-On Bonus | No Weekends!</b><br>
<i>Battle Creek, MI</i> | <i>Full-Time | Monday&ndash;Friday</i></p>
<p><b>Grace Health</b> is seeking an experienced <b>Registered Nurse</b> to join our education team! In this dynamic role, you'll help audit and support clinical staff, lead quality improvement initiatives, and shape the future of patient care&mdash;all while enjoying a <b>weekday schedule with no nights, weekends, or holidays</b>.</p>
<h3 class="jobSectionHeader"><b>Perks &amp; Benefits:</b></h3>
<ul><li><p><b>$1,000 Sign-On Bonus</b> ($500 after probation + $500 after 6 months)</p>
</li><li><p>Medical, dental, vision, life, and disability insurance</p>
</li><li><p>401K with employer match</p>
</li><li><p>Generous PTO + 8 paid holidays</p>
</li><li><p>Wellness programs (physical, mental, and financial)</p>
</li><li><p>Career growth and leadership opportunities</p>
</li></ul><h3 class="jobSectionHeader"><b>What You'll Do:</b></h3>
<ul><li><p>Develop and deliver training for clinical staff (mock codes, CPR/BLS, TB testing, skills validation)</p>
</li><li><p>Support quality improvement through audits, scorecards, and compliance reviews</p>
</li><li><p>Collaborate with management to evaluate performance and provide ongoing feedback</p>
</li><li><p>Assist in hiring and onboarding new clinical team members</p>
</li><li><p>Stay current on best practices and ensure staff education meets standards</p>
</li></ul><h3 class="jobSectionHeader"><b>Requirements:</b></h3>
<ul><li><p>Current <b>Registered Nurse (RN) license</b> in Michigan</p>
</li><li><p><b>BLS certification</b> (or ability to obtain)</p>
</li><li><p>Strong communication, teaching, and organizational skills</p>
</li><li><p>Experience in clinical education or quality improvement is a plus</p>
</li></ul><p>Ready to lead, inspire, and make a lasting impact&mdash;while keeping your weekends free? <b>Apply now and join the Grace Health team!</b></p><p><b>
#ZR</b></p></div>

RN Clinical Performance & Support Coordinator

Hill Physicians Medical Group

<div><p><b>We&rsquo;re delighted you&rsquo;re considering joining us!</b></p><p>
At Hill Physicians Medical Group, we&rsquo;re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.</p><p></p><p><b>
Join Our Team!</b></p><p>
Hill Physicians has much to offer prospective employees. We&rsquo;re regularly recognized as one of the &ldquo;Best Places to Work in the Bay Area&rdquo; and have been recognized as one of the &ldquo;Healthiest Places to Work in the Bay Area.&rdquo; When you join our team, you&rsquo;re making a great choice for your professional career and your personal satisfaction.</p><p></p><p><b>
DE&amp;I Statement:</b></p><p>
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.</p><p></p><p>
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!</p><p></p><p><b>
Job Description:</b></p><p></p><p>
Responsible for carrying out case management activities for IPA members referred to the case management program across all levels of care. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services required to meet the client&rsquo;s health and human service needs. It is characterized by advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes. Case management activities are based on nationally recognized case management standards and concepts and principles. All contacts are telephonic with an option for on-site case conferences as needed.</p><p></p><p><b>
Job Responsibilities</b></p><ul><li>
Identification of members appropriate for case management, based on identification of health-related problems.</li><li>
Assessing members&rsquo; physical and psychosocial needs/barriers.</li><li>
Developing the case management care plan.</li><li>
Developing and implementing the interventions needed to resolve barriers and coordinate care, allowing members to accomplish their goals with physician guidance and supervision.</li><li>
Documenting assessments, care plans, interventions, and all other activity related to coordinating the care of case-managed members.</li></ul><p></p><p><b>
Additional Responsibilities</b></p><ul><li>
Maintain client privacy, safety, confidentiality, and advocacy while adhering to ethical, legal, regulatory and accreditation standards.</li><li>
Maintain department procedure/policy standards with regard to turnaround time, etc.</li><li>
Support the interdisciplinary team approach to ensure effective resource utilization, as well as quality and cost-effective outcomes.</li><li>
Coordinate internal and external resources for the individual member.</li><li>
Maintain and update a community resource database.</li><li>
Document all case management activities in the HPMG case management online system.</li><li>
Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.</li><li>
Refer to various departments for supportive interventions, i.e., Health Education, Quality Management, Contracting, Provider Services, Client Data Management, TPL, COB, etc.</li><li>
Issue letters of explanation in accordance with department policy.</li><li>
Support Medical Management Team, Authorization Review, Clinical Initiatives, and Provider Education.</li><li>
Attend and participate in in service programs and conferences that support practice of case management.</li><li>
Perform other duties as assigned.</li></ul><p></p><p><b>
Required Experience</b></p><ul><li>
Minimum 3 &ndash; 5 years of experience required</li><li>
Minimum three years clinical nursing experience in an area such as medical surgical, critical care, home health or skilled nursing, and;</li><li>
Two years of experience in case management, utilization management, discharge planning and or quality improvement in a managed care setting</li><li>
Experience with managed care delivery including IPA networks and Medicare.</li><li>
Optimum organizational skills with ability to meet both expected and unexpected time frames.</li><li>
Excellent verbal and written communication skills.</li><li>
Ability to coordinate effectively with a variety of customers including members, providers, office staff, health plans, internal department, community resources, and peers.</li><li>
Ability to work independently with self-initiative and discipline.</li><li>
Knowledge of ICD-10 and or CPT coding.</li><li>
Working knowledge of personal computers.</li></ul><p></p><p><b>
Required Education</b></p><ul><li>
A.S. degree</li><li>
Unrestricted California Registered Nurse licensure; certification in case management preferred.</li></ul><p></p><p><b>
Additional Information</b></p><p>
Salary: $100,000 - $123,000 Annual</p><p></p><p><b>
Hill Physicians is an Equal Opportunity Employer</b></p></div>

Case Manager - 26-43

Waverly Health Center

<div><p><b>FTE/Scheduled Weekly Hours:
</b></p>1.00 / 40 / 1st Shift (United States of America)
<p><b>PRIMARY FUNCTIONS
</b></p><p>Utilizes data, evidence-based practice, and quality improvement tools to coordinate and lead Waverly Health Center&rsquo;s (WHC&rsquo;s) quality improvement efforts. Serves as the clinical liaison between nursing staff, operational leaders, and the IT team. Ensures that EPIC workflows, documentation tools, and clinical applications support safe, efficient, evidence-based nursing practice. Participates in system optimization, training, data analysis, and clinical transformation initiatives throughout the organization.
</p><p></p><p><b>ESSENTIAL DUTIES AND RESPONSIBILITIES
</b></p><p>Improvement Expert:
</p><ul><li>Is a content expert, and remains current and well-informed on various process improvement tools, including but not limited to those associated with Lean, continuous improvement, sustainability, Joint Commission (JC), Root Cause Analysis, etc.
</li><li>Accepts the responsibility for defining and consistently pursuing own continuing education requirements.
</li><li>Remain current and well-informed on patient safety practices in hospital and clinic settings.
</li><li>Support hospital and clinic quality and patient safety initiatives through informatics solutions.
</li></ul><p></p><p>Improvement Identification:
</p><ul><li>Proactively identifies opportunities for improvement and patient safety within the organization through various methods including but not limited to use of relevant data.
</li><li>Identifies, extracts and analyzes data, formulating recommendations for process improvement.
</li><li>Effectively prioritizes improvement activities to create patient safety in all patient care areas of the hospital and clinics.
</li><li>Actively reviews patient surveys/feedback to identify opportunities for improvement and ensure a positive patient experience.
</li><li>Serves as a regulatory expert for the hospitals and clinics and completes regulatory education with staff as appropriate. Rounds in departments to identify regulatory opportunities for improvement.
</li><li>Observes clinical practices and maps current workflows to identify inefficiencies or safety risks.
</li><li>Recommends evidence-based workflow improvements using EPIC tools.
</li><li>Ensures clinical workflows align with regulatory and quality requirements.
</li></ul><p></p><p>EPIC System Support and Optimization:
</p><ul><li>Builds, tests and maintains EPIC clinical workflows (e.g. orders, documentation, care plans, medication administration).
</li><li>Participates in new EPIC module or upgrade implementations, including workflow design, configuration, and validation.
</li><li>Identifies issues within the EMR and collaborates with IT to troubleshoot, prioritize, and resolve tickets.
</li><li>Performs system testing.
</li></ul><p></p><p>Leadership and Collaboration:
</p><ul><li>Champions change management strategies to ensure staff adopt optimized workflows.
</li><li>Participates in policy development related to documentation and informatics.
</li><li>Facilitates communication between nursing, providers, ancillary departments and IT.
</li><li>Attends department huddles and provides input towards current process improvement metrics.
</li></ul><p></p><p>Education and Implementation:
</p><ul><li>Develops training materials, tip sheets, job aids, and competency assessments.
</li><li>Provide onboarding to new nursing staff on EPIC functions.
</li><li>Conduct unit-based and hospital-wide EPIC optimization sessions.
</li><li>Acts as a resource during go-lives, upgrades and major workflow changes.
</li><li>Effectively works with all areas including, Non-Clinical, Clinical and Practitioners, to implement improvements within the organization that result in long-term, sustained changes:
</li><li>Utilizes relevant data to determine priority of improvement efforts.
</li><li>Drives improvements through proactive collaboration with staff.
</li><li>Conducts root cause analyses on events or metrics with clear outcomes and process improvement at completion.
</li><li>Works with each department as-needed to standardize processes using evidence-based standard-of-work.
</li><li>Actively participates on appropriate committees to share information and implement positive change/process improvements.
</li></ul><p></p><p>Data Knowledge and Reporting:
</p><ul><li>Remains current and generally informed on applicable state/federal/accreditation regulations on clinical quality data reporting requirements, including but not limited to Centers for Medicare &amp; Medicaid Services (CMS), Joint Commission (JC), Iowa Healthcare Collaborative (IHC), etc.
</li><li>Remains current on, and maintains detailed knowledge of, the facility&rsquo;s publicly reported quality data, including trends and benchmarking variations, in order to identify improvement efforts.
</li><li>Identifies and tracks indicators to effectively measure improvement and patient safety efforts.
</li><li>Becomes a content expert for measures associated with improvement and patient safety efforts.
</li><li>Maintains access to platforms needed to submit data to local/state/national organizations as directed based on facility participation.
</li><li>Submits data within defined timeframes based on platform deadlines.
</li><li>Uses EPIC reporting tools to validate and track clinical outcomes
</li></ul><p></p><p>Systems Utilization for Data Analysis:
</p><ul><li>Maintains a high-working knowledge of Excel/other programs in order to effectively analyze data and identify improvement opportunities.
</li><li>Acts as a system administrator for the variance reporting system to maintain user rules, form updates/development, and optimize staff understanding/usage. Ensures variances have appropriate follow up in a timely manner and close them when complete.
</li><li>Effectively shares data with staff, providers, and leadership.
</li></ul><p></p><p>Team Participation:
</p><ul><li>Maintains active membership in committees/taskforces and departmental projects.
</li><li>Represents WHC by participating as directed on local/state/national projects/initiatives as deemed relevant for WHC.
</li></ul><p></p><p><b>MINIMUM QUALIFICATIONS
</b></p><p>Education, Experience, and Training
</p><ul><li>Must be a graduate of an accredited school of nursing and currently licensed to practice as a Registered Nurse in Iowa. Bachelor&rsquo;s degree preferred but not required.
</li><li>Recent acute care or clinic nursing experience.
</li><li>Strong understanding of clinical workflows and nursing processes.
</li><li>Excellent communication. Project management and problem-solving skills.
</li><li>General knowledge of process improvement tools preferred. This includes but is not limited to Lean, continuous improvement, sustainability, International Organization for Standardization (ISO), etc. Certification in Lean Six Sigma Black Belt is a plus, but not required.
</li><li>A basic knowledge of Centers for Medicare and Medicaid Services (CMS) and Joint Commission (JC) standards is preferred.
</li><li>Must possess ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system.
</li><li>Must have ability to adapt to and navigate various databases and computer systems.
</li><li>Must have skills and ability to identify opportunities and oversee the improvement process to implement lasting changes.
</li><li>Must be able to effectively communicate with hospital staff.
</li><li>Must have attention-to-detail in all aspects of work.
</li><li>Must be able to read, speak, and write fluent English.
</li></ul><p></p><p>Physical Requirements
</p><ul><li>Sitting &ndash; Approximately 60% of shift.
</li><li>Standing &ndash; Occasional.
</li><li>Walking &ndash; Occasional.
</li><li>Lifting &ndash; Not a requirement.
</li><li>Twisting &ndash; Not a requirement.
</li><li>Bending &ndash; Occasional.
</li><li>Squat/Kneel &ndash; Occasional.
</li></ul><p></p><p><b>WORK ENVIRONMENT
</b></p><p>1. May come in contact with hazardous chemicals or treatment modalities.
</p><p>2. The possibility exists of exposure to communicable disease due to working in a healthcare environment.
</p><p>3. Involvement in patient care may result in unavoidable work-related illnesses.
</p><p></p><p>This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by his/her manager.
</p><p></p><p>Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitudes to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
</p><p></p><p>This document does not create an employment contract, implied or otherwise, other than an &quot;at will&quot; employment relationship with the Waverly Health Center.
</p><p><i>This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. A review of this description has excluded the marginal functions of the position that are incidental to the performance of fundamental job duties. All duties and responsibilities are essential job functions. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by his/her manager.
</i></p><p></p><p><i>Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee will possess the abilities or aptitudes to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
</i></p><p></p><p><i>This document does not create an employment contract, implied or otherwise, other than an &quot;at will&quot; employment relationship with </i><i>the Waverly Health Center.</i></p></div>

Nursing Informaticist & Quality Specialist 1.0 FTE 1st shift

Elevance Health

<div>
 <strong>
  Location:
 </strong>
 This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
 <br/>
 <br/>
 <em>
  Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
  <br/>
  <br/>
 </em>
 <strong>
  Work Schedule:
 </strong>
 Monday - Friday; 10:00a 7:00p CST
 <br/>
 <br/>
 The
 <strong>
  Nurse Appeals Associate
 </strong>
 is responsible for supporting the development and implementation of quality improvement interventions and audits.
 <br/>
 <br/>
 <strong>
  How You Will Make An Impact
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Researches, collects data, and submits and resolves administrative appeals.
  </li>
  <li>
   Contributes to external reviews site visit preparations by the State, accreditation review and Quality Management Committee; conducts internal monitoring and audits timeline compliance standards.
  </li>
  <li>
   Processes, tracks, trends, and reports complaint and grievances issues.
  </li>
  <li>
   Prepares complaint and grievance files for Fair Hearings and serves as a subject matter expert on complaints and grievances for non-clinical staff.
  </li>
  <li>
   Participates in quarterly Plan HIPAA audits.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Minimum Requirements
  <br/>
  <br/>
 </strong>
 Requires an LVN/LPN and minimum of 1 year of related experience; or any combination of education and experience, which would require an equivalent background. Current unrestricted LPN/LVN license in applicable state(s) required.
 <br/>
 <br/>
 <strong>
  Preferred Skills, Capabilities And Experiences
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong computer literacy skills is preferred.
   <br/>
   <br/>
  </li>
 </ul>
 Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
 <br/>
 <br/>
 Who We Are
 <br/>
 <br/>
 Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
 <br/>
 <br/>
 How We Work
 <br/>
 <br/>
 At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
 <br/>
 <br/>
 We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
 <br/>
 <br/>
 Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
 <br/>
 <br/>
 The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
 <br/>
 <br/>
 Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
 <br/>
 <br/>
 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
 <br/>
 <br/>
 Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
</div>


Nurse Appeals Associate

CenterWell

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community</b><br>
</h1>
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.
<br>
<br>
CenterWell/Conviva clinic locations may be available in the following areas: Stone Mountain, Suwanee<br>
<br>
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 &ndash; to enhance patient health outcomes and satisfaction.<p></p><div><div><p><b>
Role Scope</b></p></div><div><ul><li><p>
Transitions: Care transition support, follow-up coordination, and avoidable readmission prevention for discharged inpatient, observation and emergency department patients.</p></li></ul></div><div><ul><li><p>
Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.</p></li></ul></div><div><ul><li><p>
Population Health: Deliver culturally appropriate chronic disease education to activate patients are chronic disease self-management, particularly in DM, HTN, CHF and COPD.</p></li></ul></div><p></p><div><p><b>
Duties and Responsibilities</b>:</p></div><div><ul><li><p>
Analyze clinical data and trends from platforms such as Athena EMR and DataHub to identify gaps in care related to Stars and HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-impact opportunities.</p></li></ul></div><div><ul><li><p>
Proactively identify recently discharged inpatient, observation and emergency department patients and coordinate timely post-discharge follow-up in alignment with TOC and Transitional Care Management (TCM) requirements, with the aim of addressing root causes of utilization and supporting patients to prevent avoidable readmissions or return visits.</p></li></ul></div><div><ul><li><p>
Conduct targeted patient and provider outreach via phone, telehealth and in-clinic visits to close care opportunities, provide tailored education on preventive care, chronic disease management, and medication management.</p></li></ul></div><div><ul><li><p>
Conduct post-discharge outreach to assess understanding of discharge instructions, bottles-out medication reconciliation, symptom monitoring, and follow-up appointment adherence. Identify and escalate barriers, collaborating with providers and care team to prevent readmissions and avoidable ED utilization.</p></li></ul></div><div><ul><li><p>
Collaborate effectively with interdisciplinary teams, including providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff&mdash;to implement evidence-based interventions and optimize workflows.</p></li></ul></div><div><ul><li><p>
Document all outreach efforts, clinical interactions, and outcomes accurately and in compliance with organizational and CMS regulatory standards.</p></li></ul></div><div><ul><li><p>
Prepare, participate and discuss patients in center huddles and high-risk rounds with providers and the center-based and interdisciplinary team.</p></li></ul></div><div><ul><li><p>
Participate in quality improvement projects, provider education sessions, team huddles to stay current with evolving clinical guidelines and organizational priorities.</p></li></ul></div><div><ul><li><p>
Monitor progress toward Stars and Transitional Care Management goals, proactively identify barriers, and help develop innovative solutions to improve clinical performance and patient engagement.</p></li></ul></div><div><ul><li><p>
Support clinic operations through provider collaboration, care coordination, and community education initiatives.</p></li></ul></div><div><ul><li><p>
Coordination and facilitation of center and market-based Wellness Events-focused in-person engagement for Stars care opportunity closures.</p></li></ul></div><div><ul><li><p>
Maintain patient confidentiality in accordance with HIPAA.</p></li></ul></div></div><div><ul><li><p>
Document patient encounters accurately and timely in the indicated platform (e.g., medical record).</p></li></ul></div><div><ul><li><p>
Follow organizational policies related to safety, infection control, and attendance.</p></li></ul></div><div><ul><li><p>
Perform other duties as assigned.</p></li></ul></div><p></p><h1 class="jobSectionHeader"><b><br>
Use your skills to make an impact</b><br>
<b>
</b></h1><div><div><p><b>Required Qualifications:</b></p></div><div><ul><li><p>
Must meet one of the following requirements: Associate&rsquo;s degree in nursing (ADN) or Bachelor&rsquo;s degree in nursing (BSN).</p></li></ul></div><div><ul><li><p>
Active, unrestricted RN license (state specific as applicable).</p></li></ul></div><div><ul><li><p>
3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management.</p></li></ul></div><div><ul><li><p>
Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, SalesForce HealthCloud &ndash; per your prior employer&rsquo;s population health tools), and Microsoft Office Suite.</p></li></ul></div><div><ul><li><p>
Willing and able to complete and maintain Basic Life Support training.</p></li></ul></div><p></p><div><p><b>
Preferred Qualifications:</b></p></div><div><ul><li><p>
Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements.</p></li></ul></div><div><ul><li><p>
Experience with Transitions of Care, hospital discharge or ER follow up programs.</p></li></ul></div><div><ul><li><p>
Strong clinical judgment, data analysis skills, and ability to apply evidence-based practices.</p></li></ul></div><div><ul><li><p>
Excellent communication and motivational interviewing skills to educate and empower members.</p></li><li><p>
Proficiency in both English and Spanish is strongly preferred.</p></li></ul></div><div><ul><li><p>
Commitment to health equity, inclusiveness, and patient-centered care.</p></li></ul></div><div><ul><li><div><p>
Basic Life Support trained.</p></div></li></ul><p></p><p><b>
Additional Information</b></p></div><div><p><b><i>
Core Competencies:</i></b></p></div><div><ul><li><p>
Clinical quality improvement and strategic gap closure.</p></li></ul></div></div><div><div><ul><li><p>
Transitions of Care coordination and post-discharge support.</p></li></ul></div><div><ul><li><p>
Member and provider engagement with motivational interviewing.</p></li></ul></div><div><ul><li><p>
Regulatory compliance and documentation accuracy.</p></li></ul></div><div><ul><li><p>
Data interpretation and actionable reporting.</p></li></ul></div><div><ul><li><p>
Cross-functional collaboration and teamwork.</p></li></ul></div><div><ul><li><p>
Time management balancing administrative and outreach duties.</p></li></ul></div><p></p><div><p><b><i>
Values &amp; Mission Alignment:</i></b></p></div><div><ul><li><p>
Demonstrate integrity, respect, and empathy in all interactions.</p></li></ul></div><div><ul><li><p>
Uphold the mission to improve health outcomes and member satisfaction through proactive, compassionate care.</p></li></ul></div><div><ul><li><p>
Champion continuous learning, innovation, and professional growth.</p></li></ul></div><p></p><div><p><b><i>
Work Information:</i></b></p></div><div><p>
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.</p></div><div><ul><li><p><b>
Workstyle: Clinic-based, in-center 5 days per week</b><b>.</b></p></li></ul></div><div><ul><li><p><b>
Location:</b> Must reside in designated market area, in reasonable commutable distance to assigned clinic(s).</p></li></ul></div><div><ul><li><p><b>
Hours: </b>Monday&ndash;Friday, 8:00 AM&ndash;5:00 PM; additional time may be required.</p></li></ul></div><p></p><div><p><b><br>
TB Statement</b>:</p></div><div><p>
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.</p></div><p></p><div><p><b><br>
Driving Statement</b>:</p></div></div><div><p>
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.</p></div><p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
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.<br>
<p></p>
$71,100 - $97,800 per year<br>
<p></p>
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.<p></p><p><b>
Description of Benefits</b></p>
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) 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.<p></p><h1 class="jobSectionHeader"><b><br>
About Us</b><br>
</h1>
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&rsquo;s well-being.<p></p>
About CenterWell, a Humana company: 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). Learn more about what we offer at CenterWell.com.<p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
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.</p></div>

Clinical Care Nurse (RN)

Oregon Health & Science University

<div>Department Overview:
<p>
The Nurse Manager is a Registered Nurse (RN) responsible for operational, human resource,<br>
quality, and financial leadership for one or more inpatient or ambulatory clinical units or<br>
programs. The Nurse Manager ensures the delivery of safe, high-quality, patient- and family centered care in alignment with organizational priorities and the Professional Practice Model.<br>
This role fosters a supportive and professional practice environment, promotes staff engagement<br>
and professional development, and partners with interdisciplinary teams to achieve excellence in<br>
clinical outcomes, operational efficiency, and patient experience</p>
Function/Duties of Position:
<p>
The Nurse Manager differs from the Assistant Nurse Manager (ANM) in that the Nurse Manager<br>
holds primary accountability for operations, staffing, quality, and fiscal management for one or<br>
more inpatient or ambulatory units or clinical programs. The Nurse Manager operates with<br>
independent decision-making authority appropriate to the size, complexity, and scope of the<br>
assigned area(s), which may range from a single unit to multiple units or programs.</p><p></p><p><br>
1.<b> Strategic &amp; Program Planning </b>&mdash; The Nurse Manager develops and executes shorthand long-term goals aligned with organizational, division, and nursing priorities. This<br>
includes establishing measurable objectives, monitoring performance outcomes, and<br>
adjusting plans based on data, results, and stakeholder feedback. The Nurse Manager<br>
engages staff in shared governance and continuous improvement initiatives to advance<br>
clinical practice and operational efficiency.<br>
2. <b>Operational Leadership</b> &mdash; The Nurse Manager provides leadership for daily operations<br>
across assigned inpatient or ambulatory units, ensuring effective patient care delivery,<br>
patient flow, and workflow coordination. The role maintains visibility with staff, fosters<br>
open communication, promotes collaboration, and models accountability. The Nurse<br>
Manager also leads initiatives to enhance efficiency, integration, and overall patient<br>
experience.<br>
3.<b> Financial &amp; Resource Management</b> &mdash; The Nurse Manager develops, monitors, and<br>
manages operating budgets while tracking productivity, overtime, and resource<br>
utilization. The role implements cost-effective strategies while maintaining high<br>
standards of patient care and partners with leadership to plan for staffing, capital, and<br>
other resource needs to ensure the operational sustainability of the units or programs.<br>
4. <b>Human Resources &amp; Staff Development</b> &mdash; The Nurse Manager recruits, hires,<br>
evaluates, and develops staff while fostering engagement, recognition, and<br>
accountability. The role provides coaching and mentoring to emerging leaders, such as<br>
Assistant Nurse Managers or charge nurses and supports succession planning. The Nurse<br>
Manager ensures compliance with labor agreements, organizational policies, and<br>
professional practice standards, promoting a positive and professional work environment.<br>
5. <b>Quality, Safety &amp; Performance Improvement</b> &mdash; The Nurse Manager develops,<br>
implements, and evaluates quality, safety, and performance improvement initiatives<br>
appropriate to the scope of assigned units or programs. The role uses data and evidence-based practices to identify opportunities for improvement, mitigate risk, and drive high-quality patient outcomes. The Nurse Manager fosters a culture of safety, equity, and<br>
continuous learning, promoting excellence in care delivery.<br>
6. <b>Professional Practice &amp; Collaboration</b> &mdash; The Nurse Manager models ethical and<br>
evidence-based nursing practice consistent with the ANA Code of Ethics, Nurse Practice<br>
Act, and organizational values. The role engages in interdisciplinary collaboration to<br>
advance clinical care, operational effectiveness, and patient outcomes. The Nurse<br>
Manager represents units and programs in organizational initiatives and supports the<br>
development of a professional, inclusive practice environment that values diversity and<br>
promotes staff engagement.</p>
Required Qualifications:
<ul><li>Bachelor of Science in Nursing (BSN) required.</li><li>Master&rsquo;s degree in nursing or related field (e.g., MBA with healthcare concentration,</li></ul>
MHA, MPH).<br>
<ul><li>Two (2) years of clinical nursing experience in a related specialty AND</li><li>One (1) year of recent relevant leadership experience (e.g., charge nurse, preceptor,</li></ul>
supervisor, or equivalent).<br>
<ul><li>Demonstrated ability to manage complex operations in a large, matrixed healthcare</li></ul>
environment.<br>
<ul><li>Unencumbered Oregon RN license required.</li><li>BLS for healthcare providers required.</li><li>Professional certification in nursing leadership (e.g., NE-BC, CNML) required within 2</li></ul>
years of hire.
Additional Details:
<p><b>
This position also comes with great benefits! Some highlights include:</b></p><br>
<p></p><ul><li>
Comprehensive health care plans that cover 100% for a full-time employee and 88% for dependents for .75 FTE and higher.</li><li>
$50K of term life insurance provided at no cost to the employee</li><li>
Two separate above market pension plans to choose from</li><li>
Paid time off- 208 hours per year (full-time), prorated for part-time</li><li>
Extended illness bank- 64 hours per year, prorated for part-time</li><li>
9 paid holidays per year</li><li>
Three weeks of paid parental leave</li><li>
Adoption assistance program (up to 5k)</li><li>
Substantial Tri-met and C-Tran discounts</li><li>
Tuition Reimbursement</li><li>
Innovative Employee Assistance Program (EAP)</li></ul>
Why apply to OHSU?: <b>We are Oregon's only public academic health center.</b> In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. <b>All are welcome.</b> OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu</div>

Nurse Manager

Mountain View Rehabilitation and Senior Living Center

<div><p><b>RN Registered Nurse Opportunity at Mountain View Rehabilitation and Senior Living Center</b></p><p><b>
Join our Team at Mountain View Rehabilitation and Senior Living Center, a premier residential, long-term, rehabilitation, and subacute care provider!</b></p><p>
We are seeking a dedicated and compassionate RN Registered Nurse to join our team at Mountain View Rehabilitation and Senior Living Center in Shamokin, PA. As a Registered Nurse with our organization, you will have the opportunity to make a meaningful difference in the lives of our patients and residents.</p><p><b>
Job Summary:</b></p><p>
The Registered Nurse is responsible for providing high-quality, patient-centered care to our residents. The ideal candidate will possess excellent clinical skills, a strong commitment to patient safety, and a passion for delivering compassionate care.</p><p><b>
Responsibilities:</b></p><ul><li><p>
Provide direct patient care, including administering medications, wound care, and repositioning patients</p></li><li><p>
Develop and implement individualized care plans, collaborating with the interdisciplinary team</p></li><li><p>
Monitor and report patient progress, identifying areas for improvement and adjusting care plans as necessary</p></li><li><p>
Participate in quality improvement initiatives and champion evidence-based practice</p></li><li><p>
Maintain accurate and timely documentation of patient care and treatment</p></li></ul><p><b>
What We Offer:</b></p><ul><li><p>
A dynamic and supportive work environment that fosters professional growth and development</p></li><li><p>
Opportunities for advancement and specialization within our organization</p></li><li><p>
A commitment to providing the highest quality patient care, backed by our company slogan, &quot;Revolutionizing Care Delivery&trade;&quot;</p></li></ul><p><b>
Requirements:</b></p><ul><li><p>
Current RN license in the state of Pennsylvania</p></li></ul><p><b>
How to Apply:</b></p><p>
If you are a motivated and compassionate RN with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Join our team at Mountain View Rehabilitation and Senior Living Center and be part of a dynamic organization that is changing the face of healthcare. Apply now to take the first step in your rewarding career as an RN Registered Nurse!</p></div>

RN Registered Nurse in Shamokin

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