Registered Nurse Overview • The Registered Nurse role focuses on improving patient outcomes through clinic-based care and proactive interventions. • Support transitions of care, reduce emergency department utilization, and enhance Medicare Advantage Stars ratings. • Engage patients and providers to deliver evidence-based interventions and chronic disease education. • Contribute to quality improvement initiatives and ensure compliance with regulatory standards. • Collaborate with interdisciplinary teams to optimize workflows and enhance patient satisfaction. • Utilize data analytics tools to identify gaps in care and prioritize impactful opportunities. • Maintain patient confidentiality and uphold organizational values of integrity and empathy. • Participate in professional development and continuous learning to stay current with clinical guidelines. Registered Nurse Key Responsibilities & Duties • Coordinate post-discharge follow-up to prevent readmissions and improve transitions of care. • Conduct patient education on preventive care, chronic disease management, and medication adherence. • Analyze clinical data to identify care gaps and implement quality improvement strategies. • Engage in interdisciplinary team collaboration to optimize patient care workflows. • Document clinical interactions and outreach efforts accurately in compliance with standards. • Participate in center huddles and high-risk rounds to discuss patient care strategies. • Support clinic operations through provider collaboration and community education initiatives. • Monitor progress toward quality goals and develop solutions to enhance performance. Registered Nurse Job Requirements • Bachelor of Science in Nursing (BSN) or Associate’s degree in Nursing (ADN). • Active, unrestricted RN license with at least 3 years of clinical nursing experience. • Proficiency in electronic health records, data analytics tools, and Microsoft Office Suite. • Knowledge of Medicare Advantage Stars, HEDIS, and CMS quality requirements preferred. • Bilingual proficiency in English and Spanish is highly desirable. • Basic Life Support certification is required. • Strong clinical judgment and ability to apply evidence-based practices effectively. • Commitment to health equity and patient-centered care principles.