Clinical Care Nurse, RN

CenterWell Senior Primary Care

Clinical Care RN improving senior patients’ outcomes through transitions, quality, and chronic disease management at CenterWell. Coordinating outreach, education, and evidence-based interventions across South Carolina clinics.

Posted 8/4/2026full-timeMyrtle Beach • South Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $71,100 - $97,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical nursing with a focus on transitions of care, quality improvement, and patient-centered care. Proficient in data analysis and electronic health records, with a commitment to health equity and effective communication.

Highest-signal resume keywords

Active RN License in South CarolinaClinical Nursing Experience (3+ Years)Proficiency with Athena EMRData Analytics Tools (DataHub, Salesforce HealthCloud)Bilingual English and Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Data AnalysisMedication ReconciliationChronic Disease ManagementPreventive Care EducationSymptom MonitoringPost-Discharge Follow-UpQuality ImprovementTransitions of CarePatient AssessmentEvidence-Based Practices

Soft Skills

Excellent CommunicationMotivational InterviewingCollaborationCommitment to Health EquityPatient-Centered Care

Tools & Technologies

Athena EMRDataHubSalesforce HealthCloudMicrosoft Office Suite

Certifications & Qualifications

Basic Life Support TrainingActive RN License

Industry Keywords

Medicare Advantage StarsHEDISCAHPSCMS Quality RequirementsPopulation Health Management

About the role

Key responsibilities & impact

Support safe Transitions of Care, reduce avoidable emergency department utilization, and improve Medicare Advantage Stars and quality performance
Analyze clinical data and trends from Athena EMR, DataHub, and related platforms to identify Stars, HEDIS, and post-hospitalization care gaps
Identify recently discharged inpatient, observation, and emergency department patients and coordinate timely post-discharge follow-up
Conduct patient and provider outreach by phone, telehealth, and in-clinic visits
Provide education on preventive care, chronic disease management, medication management, and self-management for diabetes, hypertension, CHF, and COPD
Perform post-discharge assessment, medication reconciliation, symptom monitoring, and follow-up appointment adherence checks
Identify and escalate barriers to providers and care teams to prevent readmissions and avoidable ED utilization
Collaborate with providers, care assistants, center administrators, medical assistants, pharmacy, and quality improvement staff
Document outreach, clinical interactions, patient encounters, and outcomes accurately and in compliance with organizational and CMS standards
Participate in center huddles and high-risk rounds
Participate in quality improvement projects, provider education sessions, and team huddles
Monitor Stars and Transitional Care Management goals and develop solutions to improve clinical performance and patient engagement
Support clinic operations through provider collaboration, care coordination, and community education
Coordinate and facilitate center- and market-based wellness events
Maintain patient confidentiality in accordance with HIPAA
Follow safety, infection control, attendance, and other organizational policies
Travel quarterly within the market to alternative clinics for strategic meetings

Requirements

What you’ll need

Associate's degree in nursing (ADN) or bachelor's degree in nursing (BSN)
Active, unrestricted RN license in South Carolina
3+ years of clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management
Proficiency with electronic health records, including Athena EMR
Proficiency with data analytics tools such as DataHub, Compass Rose, or Salesforce HealthCloud
Proficiency with Microsoft Office Suite
Willingness and ability to complete and maintain Basic Life Support training
Knowledge of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements preferred
Experience with transitions of care, hospital discharge, or emergency room follow-up programs preferred
Strong clinical judgment and data analysis skills preferred
Ability to apply evidence-based practices preferred
Excellent communication and motivational interviewing skills preferred
Commitment to health equity, inclusiveness, and patient-centered care preferred
Bilingual English and Spanish with full professional proficiency strongly preferred
Must reside in the designated market area within reasonable commuting distance of assigned clinics
Availability Monday-Friday, 8:00 AM-5:00 PM, with additional time as required
Must pass required TB screening
Valid state driver's license
Personal vehicle liability insurance meeting state minimum limits or specified Humana limits

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Basic Life Support training completion and maintenance
Wellness events and whole-person well-being programs