CenterWell Senior Primary Care

Clinical Competency & Quality Nurse

Posted on

May 2, 2026

Job Type

Full-Time

Role Type

Primary Care

License

RN

State License

Kentucky

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Help & Resources

Company Description

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.

Job Description

Clinical Competency, Remediation, Onboarding and Talent Management The Care Integration Clinical Competency & Quality Nurse is a Center of Excellence (CoE) position responsible for ensuring the clinical quality and provider & patient engagement effectiveness for the Clinical Care RN role through nursing chart and recorded visit audits, competency assessments, remediation oversight and talent management. This role bridges clinical excellence with operational leadership, conducting structured audits, and driving remediation for clinical competency gaps (in partnership with Education team support). You will report to the Director of Physician Strategy. Must reside in designated geographic area, in reasonable commutable distance to CenterWell/Conviva market locations; (market-dependent) quarterly or as-needed travel within market. Role Scope Clinical Competency & Oversight: Conduct and oversee clinical competency audits for nursing staff (Clinical Care RN); support remediation in partnership with Center of Excellence leaders and Education team Clinical Competency & Oversight tooling: Develop audit tools, processes, and remediation approaches in partnership with the Medical Director, Care Integration Team & High Risk Patient Management Program Onboarding & Talent Management: Initial interview and assessment of Clinical Care RN candidates; maintenance of onboarding design and process adherence (in partnership with Center Administrators)

Requirements

Required Qualifications: Bachelor's Degree in Nursing (BSN) Active, unrestricted RN license 5+ years of clinical nursing experience with experience in transitions of care or population health management Strong clinical judgment and ability to apply evidence-based practices Proficiency with EMR and care management platforms (any system) Preferred Qualifications: Master's degree in Nursing, Business Administration, or Healthcare Management Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements Experience in clinical competency assessment, audit development, or compliance oversight Proficiency with electronic health records (Athena EMR), data analytics platforms (DataHub), and Microsoft Office Suite Familiarity with SalesForce, Genesys, and operational platform tools Experience recruiting, interviewing, and onboarding for clinical roles Strong communication, presentation, and stakeholder engagement skills Commitment to health equity, inclusivity, and patient-centered care Basic Life Support (BLS) certification Working Conditions Workstyle: Hybrid Location: Must reside in designated geographic area, in reasonable commutable distance to market clinics; (market-dependent) quarterly or as-needed travel within market Hours: Monday–Friday, 8:00 AM–5:00 PM; additional time may be required for program improvement projects or strategic initiatives To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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Responsibilities

Clinical Competency & Auditing: Develop and maintain clinical competency audit tools and processes aligned with organizational standards and evidence-based best practices Conduct clinical competency audits of RN documentation, clinical decision-making, and patient care practices; perform targeted reviews of charts and recorded successful patient contacts Conducts regular audits on each nurse at prescribed cadence Develop remediation approaches for nurses identified with clinical competency gaps; oversee and monitor remediation execution in collaboration with market operators and Education team. Audit rounds/huddle quality; provide coaching to nurses on case presentation skills. Nursing Staff Development & Recruitment: Support onboarding processes and tools for RNs, in partnership with Stars CoE Program Leads; coordinate with Education team for onboarding activities Develop standard job descriptions and competency frameworks for nursing roles Create and maintain interview guides and recruitment processes; establish guardrails for opening requests (capacity, geography, leader approval) Conduct first-round interviews for Clinical Care RN and project manage talent acquisition process

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