VA
Job description
Clinical Care Nurse RN
Virginia (Remote)
$34.50/HR
Monday–Friday, 8:00 AM – 5:00 PM
The Clinical Care Nurse (RN) position is a remote, clinic-oriented role aimed at enhancing patient outcomes via quality improvement, Transitions of Care (TOC), and population health strategies. This role is pivotal in minimizing unnecessary hospital use, aiding in post-discharge processes, and enhancing Medicare Advantage Stars and HEDIS performance. The RN will utilize patient outreach and educational efforts alongside data-centric approaches to pinpoint care discrepancies, engage with patients and providers, and apply evidence-informed practices that boost overall health results.
Key Responsibilities of Clinical Care RN:
- Manage Transitions of Care, ensuring effective post-discharge follow-up and preventing readmissions.
- Evaluate clinical data (including Athena EMR, DataHub) to detect care discrepancies and support HEDIS/quality objectives.
- Engage in patient outreach through phone or telehealth to educate on chronic illnesses, medication management, and preventive health measures.
- Conduct medication reconciliation and verify patient comprehension post-discharge.
- Work in collaboration with interdisciplinary teams to enhance workflows and patient results.
- Aid in population health programs, particularly regarding chronic illnesses such as diabetes and hypertension.
- Accurately record all patient interactions, ensuring compliance with CMS and HIPAA regulations.
- Identify obstacles to care and partake in quality improvement initiatives.
Requirements for Clinical Care RN:
- Bachelor’s degree in Nursing.
- Current, unrestricted RN license (must be active in the required state).
- At least 3+ years of clinical nursing experience (TOC, quality, managed care, or population health experience is preferred).
- Familiarity with Medicare Advantage Stars, HEDIS, or value-based care is advantageous.
- Skilled in using EMRs (Athena preferred) and Microsoft Office.
- Excellent communication, critical thinking, and patient engagement abilities.
- Capable of working autonomously in a remote environment.
- Bilingual capabilities (English/Spanish or Creole) are a bonus.
- Must submit a valid RN license and a comprehensive NURSYS report upon application.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
