Population Health Care Manager - Registered Nurse or LPN

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Must be Registered Nurse or LPN in state of Illinois

Location: State of Illinois

Shift: 7:30a-4p, MON-FRI

Time Type: Full-Time

Facility/Clinic Name: Fully Remote

Position Summary

• Responsible for serving as a patient advocate. Enhances a collaborative relationship with the patient, family and clinician. Serves as a health coach to promote healthy lifestyle for patients within cohort. Partner with stakeholders to improve quality outcomes and measures.

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality

Education

• Associates degree in nursing required.

Licenses and Certification

• Current LPN nursing license, pursuing RN;
• RN strongly preferred

Experience and Skills

• Technical: Minimum of three-year experience in the use of Electronic Medical Record systems, EPIC preferred.
• Strong background in ambulatory and/or inpatient acute care nursing
• Ability to effectively communicate with physicians, care team members, and caregivers to maximize individual effectiveness.
• Clinical acumen to support and understand disease progression and common associated interventions
• Basic knowledge and experience using web-based meetings and communications, Excel, Word, PowerPoint, and other software applications.
• Experience working in a remote setting preferred.

Physical Activities

• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 lbs

Role Specific Responsibilities

• Uses nursing knowledge and expertise to drive care coordination efforts for patients with chronic diseases or other diagnoses related health management needs
• Maintains multiple caseloads/deadlines independently and in a timely fashion while responding to quality and other outcome related measures.
• Develops and maintains individualized care plans and goals for patients within a given cohort based on the identification of patient needs and proposed solutions.
• Applies effective and therapeutic clinical coaching methods to promote patient engagement that fosters independence and self-management.
• Communicates with Care Team members to coordinate care.
• Maintains health coach or other care management training and/or certification.
• Conducts concurrent medical record review using specific indicators and criteria selected for care gap reporting.
• Actively works with patients and providers to close care gaps for value based contracts.
• Develops and reports on hospitalization and other quality metrics including identification of problem areas and possible plans for improvement.
• Assists with orders for laboratory and diagnostic testing as appropriate per department clinical guidelines.
• Participates in department huddles, meetings and other meetings as appropriate.
• Partners with Community Based programs to promote Population Health programs.
• Works under the supervision of the Director of Clinical Operations - Population Health and indirectly with the Medical Director of Population Health

Compensation (Commensurate with experience):

To

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