Quality RN Professional - Dania Pointe

HumanaDania Beach, FL
244d$71,100 - $97,800

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About The Position

The Stars Improvement, Clinical Professional (RN) is responsible for the development, implementation and management oversight of the Primary Care Organization's Stars Program in the South Florida market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase the patient outcomes. Work is performed within the associate's assigned center locations and in collaboration with existing Quality Improvement Coordinators and Professionals and in close partnership with market and center teams. The Stars Improvement, Clinical Professional (RN) represents the scope of provider relationships across the following areas: Quality/clinical management and population health, HEDIS and Stars performance, Operational improvements, Financial performance and incentive programs, Data sharing and connectivity, Documentation and coding, Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence.

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