Location & Practice Overview

This clinic-based role is located within CenterWell Senior Primary Care sites in the Atlanta market, including facilities such as Greenbriar and Grove Park. The position operates inside Humana’s senior-focused primary care network and requires daily on-site presence at the assigned center with occasional travel to other clinics in the market for meetings.

Practice Type Senior-focused primary care clinics
Care Setting Outpatient clinic-based
Market Area Atlanta, Georgia
Work Arrangement On-site with occasional market travel

Responsibilities

  • Identify patients discharged from inpatient, observation, and emergency settings and coordinate timely post-discharge outreach aligned with Transitions of Care and Transitional Care Management requirements.
  • Perform post-discharge medication reconciliation, assess understanding of discharge instructions, and reinforce medication use, symptom monitoring, and follow-up recommendations.
  • Conduct targeted outreach by telephone, telehealth, and in-person visits to deliver individualized education on chronic disease self-management and preventive care.
  • Review clinical data in Athena EMR and population health platforms to identify care gaps linked to Medicare Advantage Stars and HEDIS measures, then prioritize interventions.
  • Collaborate with physicians, medical assistants, pharmacy staff, and quality teams during huddles and high-risk rounds to address barriers and support continuity of care.
  • Document all outreach, clinical interactions, and outcomes accurately while maintaining HIPAA compliance and supporting center-based wellness events.

The role balances direct patient engagement with data-driven quality work focused on reducing avoidable readmissions and closing clinical gaps.

Qualifications & Requirements

Candidates must hold an active unrestricted RN license and meet the stated clinical experience threshold with relevant exposure in care transitions, quality, managed care, or population health.

Education
Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)
License
Active, unrestricted Registered Nurse (RN) license meeting Georgia requirements
Experience
Minimum 3 years clinical nursing experience that includes transitions of care, clinical quality improvement, managed care, or population health management
Technical Skills
Proficiency with electronic health records (Athena EMR preferred) and experience with clinical data or population health platforms; Microsoft Office Suite required
Additional Requirements
Willingness to complete and maintain Basic Life Support (BLS); valid driver’s license and personal vehicle liability insurance meeting stated minimums; TB screening required

Compensation & Benefits

Annual base salary falls within the published range and may vary by experience, education, and qualifications. The role is also eligible for a performance-based bonus incentive.

  • Base salary range: $71,100–$97,800 per year
  • Eligible for company and/or individual performance bonus
  • Medical, dental, and vision insurance
  • 401(k) retirement savings plan
  • Paid time off, company and personal holidays, volunteer time off, paid parental leave, and paid caregiver leave
  • Short-term and long-term disability coverage plus life insurance

Schedule & Work Environment

Employment Type Full-time, 40 hours per week
Workdays Monday through Friday
Daily Hours 8:00 AM–5:00 PM
Clinic Attendance Required five days per week on-site
Travel Occasional travel to other clinics within the market (approximately quarterly)

Patient Population & Clinical Setting

The nurse works with senior patients enrolled in CenterWell’s primary care model, many of whom manage multiple chronic conditions and recently transitioned from acute care settings.

Age Group Older adults / Medicare-eligible seniors
Common Conditions Diabetes, hypertension, congestive heart failure, COPD
Care Context Post-hospital, observation, and emergency department transitions
Clinical Complexity Patients with barriers to adherence, follow-up, and recovery after acute episodes

Clinical Focus & Key Services

The clinical core centers on transitional care management after acute events and structured support for chronic disease control within a senior primary care framework.

Transitions of Care Post-discharge follow-up and reconnection to primary care
Chronic Disease Education Self-management support for diabetes, hypertension, CHF, and COPD
Medication Management Reconciliation and adherence reinforcement after hospital or ED stays
Quality Measure Support Closing gaps related to Medicare Advantage Stars and HEDIS

Role Highlights

This Clinical Care Nurse position offers a specialized outpatient nursing pathway within a senior-focused primary care network. Rather than following a traditional inpatient or hospital-based nursing model, the role combines transitional care, longitudinal patient engagement, and population health initiatives. Nurses work across clinical and quality-focused functions, gaining exposure to Medicare Advantage care standards while supporting coordinated services for older adults throughout the Atlanta market.

  • Specialized nursing role focused on transitional care and continuity of treatment for older adults following hospital and emergency department visits.
  • Outpatient primary care environment offering an alternative to traditional inpatient bedside nursing and hospital shift-based practice.
  • Combined clinical and population health focus involving Medicare Advantage Stars, HEDIS quality measures, and senior care coordination.
  • Multidisciplinary collaboration within CenterWell Senior Primary Care, connecting nursing services with physicians, pharmacy staff, medical assistants, and quality teams.
  • Opportunity to support coordinated care across the Atlanta clinic network, with exposure to center-based patient engagement and market-wide wellness initiatives.

About Humana — CenterWell Senior Primary Care

Humana Inc. operates health insurance, healthcare services, senior-focused primary care, home healthcare, and pharmacy businesses. CenterWell Senior Primary Care is Humana’s dedicated senior primary care division that emphasizes preventive care, chronic disease management, and coordinated team-based services for older adults.

Organization Humana Inc.
Division CenterWell Senior Primary Care
Focus Senior-focused primary care and related healthcare services
Local Network Atlanta-area clinics including Greenbriar and Grove Park

Frequently Asked Questions

Is bilingual ability required for this Clinical Care Nurse role?
Full professional proficiency in both English and Spanish is strongly preferred but not listed as a mandatory requirement.
Does the position involve any inpatient bedside nursing?
No. The role is outpatient and clinic-based, centered on post-discharge coordination, education, and quality improvement rather than traditional hospital bedside care.
What electronic systems will the nurse use daily?
Athena EMR is the primary electronic health record. Population health and analytics platforms such as DataHub, Compass Rose, and Salesforce HealthCloud are also referenced for care-gap identification.
Is personal vehicle insurance required?
Yes. Candidates must hold a valid driver’s license and maintain personal vehicle liability insurance meeting the stated minimum coverage levels because the position is subject to Humana’s driver safety program.
Are there opportunities to support wellness events?
Yes. The nurse helps coordinate and facilitate center-based and market-based wellness events aimed at engaging patients and closing outstanding quality-of-care opportunities.

Clinical Care Nurse (RN) in Atlanta, GA

The Clinical Care Nurse (RN) opportunity in Atlanta, GA, with Humana’s CenterWell Senior Primary Care network, offers a specialized nursing role within an outpatient healthcare model designed for older adults. Unlike conventional hospital-based RN positions, this role is integrated into a senior-focused primary care environment where clinical services extend beyond individual appointments to support continuity across different stages of care. The position connects primary care nursing with Medicare Advantage quality initiatives and coordinated services for Medicare-eligible patients. Its placement within CenterWell’s Atlanta clinic network makes it relevant to registered nurses interested in senior healthcare, ambulatory nursing, transitional care management, and population health within an established primary care organization.

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