Quality Improvement Senior Clinical Professional (RN)

Licensed Registered Nurse (RN) without restriction in applicable state 5+ years' of clinical nursing experience 1+ years' experience in a fast-paced healthcare operational role, including hospital, provider or member facing nursing responsibilities Experience in provider engagement and relationship management Strong understanding of Stars measures and quality improvement initiatives Proven ability to influence clinical practice or provider performance Comprehensive knowledge of Microsoft Office applications, Word and Excel with advanced knowledge of PowerPoint 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 Valid driver's license with reliable transportation and the ability to travel up to 30% within the region Preferred Qualifications: Bachelor’s degree in Nursing 3+ years of managed care experience 3+ years of case management experience Strong knowledge of HEDIS/Stars/CMS Work-At-Home Requirements To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate. Wireless, Wired Cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.) Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates 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 associates 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

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