Nursing Jobs in Harleysville, PA
$87,000 - $114,000 / year
Posting Date 03/18/2026 518 Knorr Street, Philadelphia, Pennsylvania, 19111, United States of America This DaVita IKC Nurse position is for the Philadelphia region, and is a hybrid remote/field-based position. This position functions autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, cost-effective care while minimizing fragmentation of the healthcare delivery system for ESRD and CKD patients. This position provides coordination of care between the patient, family, physician, provider and care teams, the community, and Regional Operations Manager. NOTE: The DaVita IKC position can be telephonic based, field based, or a combination of both telephonic and field. Field based positions require home offices and travel to dialysis centers in designated geographic area. Telephonic positions that are remote will require home offices. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita’s vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US. Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. We’ve proven that integrating care achieves the triple aim of improved patient quality of life, better outcomes and lower total cost of care. What sets DaVita IKC apart is that we not only provide great care management but we start with our heart with our patients and each other. We focus on creating both a great experience for our patients and a special place to work for our teammates. We’re on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we’re investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally. Qualifications for the Shining Star for our DaVita IKC Registered Nurse are: A.D.N degree from accredited school of nursing required; B.S.N preferred; three-year diploma from accredited diploma program may be substituted for nursing degree Current Registered Nurse (RN) license in the state of practice required Continuing education credits maintained as required by state of practice required Minimum of five (5) years’ experience in clinical nursing required Minimum of three (3) years’ experience in renal nursing preferred Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes Demonstrated experience and effectiveness in change agent role Demonstrated knowledge and understanding of CQI techniques Previous experience in healthcare performance coaching required Certified Nephrology Nurse (CNN) or Certified Case Manager (CCM) preferred Current CPR certification required Ability to modify personal practice patterns to adapt to new / electronic processes and increased productivity expectations as it pertains to Capella implementation Current driver’s license in state employed with positive driving record and able to meet requirements of insurance coverage required Basic computer skills and proficiency in MS Word and Outlook required Functional proficiency with DaVita specific clinical software programs, including Capella, required within 90 days of employment Home office with internet connectivity at minimum of 1MB upload and 1MB download speed required Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen." Why wait? Explore a career with DaVita today. Go to http://careers.davita.com to learn more or apply. What We’ll Provide: More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning. #LI-EO1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Salary Range for the role is $87,000 - $114,000 per year. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. 
$72,800 - $130,000 / year
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together We support providers who care for UnitedHealthcare (UHC) Medicaid and CHIP members across five counties in southeastern Pennsylvania: Philadelphia, Montgomery, Bucks, Chester, and Delaware. Our team includes a Clinical Quality Manager, a Quality Director, and a Quality Nurse. This role will serve as the second Quality Nurse on the team. Within our same department we have a member outreach team also and another responsible for NCQA policy and Performance Improvement Projects. Our primary goal is to promote our local Pay‑for‑Performance program and support providers in achieving the highest possible incentive outcomes by meeting HEDIS® and state quality measures. In addition, we provide ongoing support to provider groups engaged in value‑based contracts, which also include HEDIS® and state‑mandated quality measures tied to defined performance benchmarks. You'll enjoy the flexibility to work remotely * within Montgomery and surrounding counties as you take on some tough challenges. Primary Responsibilities Quality Program Leadership & Provider Support Oversee ongoing provider practice engagement and community education related to state specific quality measures Collaborate closely with the Quality Manager and Quality Director to coordinate an interdisciplinary approach that improves provider's performance Serve as the primary resource for provider focused clinical quality improvement and management programs Educate providers and office staff on quality program requirements, including analysis of provider level outcomes, monitoring of key metrics, and support in meeting quality standards, contractual obligations, and pay for performance targets Clinical Quality & Compliance Ensure activities align with State, CMS, NCQA, and other regulatory requirements Support providers in evaluating member care, identifying care gaps, and developing action plans using evidence based guidelines and quality tools (HEDIS®, NCQA, CMS, state specifications) Conduct onsite medical record audits to assess coding, documentation, quality compliance, and service delivery standards Investigate documentation gaps or system issues impacting measure performance, provide feedback, and monitor resolution to completion Data Analysis, Reporting & Record Management Analyze quality data to identify trends, opportunities for structured data, and gaps in care at the provider and member levels Maintain care opportunity reports, track encounter history, and support quality related studies or initiatives as directed by the Health Plan Support medical record collection and abstraction processes for Pre Season (April-January), Hybrid (January-April), PAPM Maternity (April-July) and other review periods to optimize measurement and reporting Prepare and distribute reporting, and analytics related to care gaps, performance trends, and member outreach opportunities Provider Practice Transformation & Education Lead targeted practice level quality improvement initiatives through clinical education and deployment of approved materials The role assists contracted providers with analyzing member care, trending quality compliance at the provider level, and developing action plans and programs to support provider practices in continuous quality improvement using approved clinical practice guidelines, HEDIS®, CMS, NCQA and other tools Provider education regarding the quality improvement program involves analysis and review of quality outcomes at the provider level, monitoring, measuring, and reporting on key metrics to assist providers in meeting quality standards, state contractual requirements and pay for performance initiatives based on HEDIS® measures Deliver training on documentation, coding, billing, state mandated quality metrics, profiling, pay for performance methodologies, and medical record review criteria Serves as subject matter expert (SME) for assigned HEDIS®/ State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS® / State Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS®/State Measure rates Care Gap Closure & Targeted Quality Improvement Drive closure of open care opportunities, including preventive services, chronic condition management, and other quality measures through HEDIS® data collection Identify population level barriers to care and recommend evidence based strategies to close clinical gaps and improve outcomes Provide follow up education or interventions for practitioners based on chart audit findings to support continuous quality improvement Relationship Management & Community Engagement Build and maintain solid relationships with internal and external stakeholders, including providers, practice staff, community organizations, and public health partners Participates, coordinates, and/or represents the Health Plan at community-based organization events, clinic days, health department meetings, and other outreach events focused on quality improvement, member health education, and disparity programs as assigned Document and escalate non clinical or service related provider concerns to appropriate departments (Provider Relations, Chief Medical Officer, etc.) Operational & Cross Functional Collaboration Coordinate with other departments on projects and initiatives that intersect with quality performance, regulatory activities, or provider engagement Work independently and within a highly matrixed team environment, managing competing priorities while meeting deadlines Perform additional duties as assigned by Quality Leadership Challenges of the role This Role Can Be Challenging For Individuals Who Struggle with managing multiple priorities at once, as quality work often involves juggling several projects, deadlines, and stakeholders simultaneously Are not naturally self sufficient or self motivated, since the role often requires taking initiative, problem solving independently, and driving improvements without constant direction Are uncomfortable working with data, including reviewing and analyzing information in Excel, running or interpreting reports, and creating clear, professional presentations Do not feel confident presenting information or speaking in public, as sharing findings with leadership, committees, or clinical teams is a core part of the work Prefer routine, predictable tasks, because quality roles frequently shift based on organizational needs, audit findings, or emerging quality concerns Have difficulty navigating change, as the job involves implementing new workflows, policies, and performance improvement initiatives across teams Are uncomfortable giving feedback or addressing performance gaps, even in a constructive, supportive way Do not enjoy collaborating across multiple departments, since relationship building with clinicians, leadership, and operational partners is essential Struggle with regulatory or compliance details, as the role requires understanding, interpreting, and applying standards from accrediting and regulatory bodies Have trouble documenting processes, writing summaries, or communicating findings clearly and concisely You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Registered Nurse licensure in the state of PA Experience in clinical quality, patient safety, risk management, or performance improvement Experience leading or facilitating performance improvement within scope Knowledge of HEDIS® measures technical specifications Familiarity with quality measurement tools, such as dashboards, scorecards, databases, or EHR reporting tools Intermediate proficiency in Microsoft Office applications, particularly Excel and PowerPoint Demonstrated solid documentation and organization skills Willingness to travel to community-based events for assigned groups up to 10% Driver's License and access to reliable transportation Key Competencies Attention to detail and accuracy Critical thinking and clinical judgment Collaboration and relationship building Ability to educate providers or administrative staff and provide feedback constructively on performance Adaptability and comfort with change All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
