Population Health Nurse

*Sign-on Bonus**Relocation Assistance**Flexible Scheduling*JOB SUMMARY:The Population Health Nurse is responsible for the operational aspects and business management of the Family Practice of Holyoke, Rural Health Clinic as well as the clinical care of patients and excellence in their service experience.The Population Health Nurse will work with the primary care team. Primary responsibilities include coordinating annual wellness visits and manage high risk chronically ill patients through Chronic Care Management utilizing health coaching techniques to assist patients with self-management of their chronic diseases and life-style changes to mitigate health risk. The population health nurse is also responsible for Transitional Care Management, coordinating care efforts with specialty providers and integrating mental and behavioral health services.ESSENTIAL DUTIES:Exhibits behaviors that are consistent with the Mission, and Values of Melissa Memorial Hospital and the culture and objectives of MMH. All employees are expected to work as needed in providing health and wellness services in the community.Participate in the Family Practice of Holyoke’s Accountable Care Organization initiatives including trainings, meetings, certifications, workshops, webinars, road map calls, cohort calls, and other objectives.Identify care caps with clinical team to provide annual wellness visits, counseling/resource services, preventative screenings, and care management services.Coordinate and manage care for patients enrolled in principal care management, chronic care management, and transitional care management programs.Develop care plans with patients to help manage chronic conditions. Care plans to include mutual goals with the care team, patient, and the patient’s family.Collaborate with practice leaders/supervisors to implement tracking systems for care management programs, patient panels, annual wellness visits, principal care management, chronic care management, and transitional care management.The Population Health Nurse will mobilize community resources and navigate patients through healthcare.The Population Health Nurse assists the Physician with patients, including preparing patients and he examination rooms; taking initial medical history for the chart, taking vital signs, making lab and x-ray appointments, and explaining the preparations to the patients. In addition, assists the Physician in all special procedures, as required. This position will promptly intervene with appropriate action in an emergency. Basic Life Support (BLS) is required.The Population Health Nurse carries out physician order. This position handles phone calls as directed by the physician, such as calling in prescriptions, and notifies patients of diagnostic testing results. This incumbent gives injections and medications prescribed by the physician.The Population Health Nurse is responsible for providing patient education as delegated, completing physical forms and referral arrangements, and assists in maintaining a large volume and variety of medical records in accordance to office procedures.The Population Health Nurse must be able to incorporate observation and assessment skills and differentiate between critical and non-critical patient conditions to initiate appropriate procedures.The Population Health Nurse is responsible for proper handling and storage of all mediations stored in the office.Regular and predictable attendance.Continuous learning in both personal and professional development.Consistent review, comprehension and reply of company email and related correspondence.To include additional tasks or other duties as assigned.*In addition to the responsibilities described above, the role may include other responsibilities and duties as assigned on occasion, based upon MMH needs or requirements.COMPETENCIES:Support MMH vision and mission.Maintain confidentiality of all work information.Demonstrate an ability to function successfully in a team environment.Exhibit courteous, compassionate, and respectful treatment of internal and external customers.Displays a positive attitude and flexibility in changing situations.Participates in identifying problems and suggesting solutions.Report any compliance issues as designated in the MMH Compliance Program.QUALIFICATIONS:MINIMUMRequired education: Associates or bachelor’s degree in nursing.2 years minimum experience as an RN in a clinical setting.PREFERREDPrevious Home Health or Hospice experience.Skills: Analytical, organized, multitasked, excellent communicator, collaborative, relationship building, critical thinking, problem solving, computer skills, and scheduling experience.\"This position will remain open until filled; however, applications will be reviewed on a rolling basis.\"WHY WORK AT MELISSA MEMORIAL HOSPITAL?At Melissa Memorial Hospital, we’re a family not just a healthcare provider serving patients, staff, and community with care and inclusion. Here’s why you’ll thrive here:Core Values: Integrity, Passion, Service, Collaboration, Ownership, Courage drive us.Mission: “Compassionate care, nurturing trust.”, Tagline: “Seek Health. Live Well.”Eastern Plains Heart: A tight-knit team delivering impactful care.Balance: Work-life support plus the tools to excel in your current role and help you grow!WHAT WE OFFER:100% Employer paid Medical (Employee Only)Dental and Vision insuranceRetirement Plans, with up to 3% employer matchVoluntary Group BenefitsEmployee Assistance ProgramGym Membership DiscountPTO, Paid Sick TimeContinuing Education BenefitsFSAMASA InsuranceEligibility for Student Loan RepaymentMELISSA MEMORIAL HOSPITAL:Melissa Memorial Hospital is a 15-bed critical access hospital, located in Holyoke, Colorado. While being “rural” we are equipped for any situation. It is a model rural hospital with 1 operating room, surgical procedure room, 4 bay emergency room, and radiology including 64-slice CT scanner and mammography, MRI, ECHO, and Nuclear Medicine, along with other ancillary services. The hospital is co-located with a family practice clinic and retail pharmacy services. Other services include chemotherapy, general & orthopedic surgery, podiatry, cardiology, orthopedic surgery, progressive rehab services, and wound care. MMH operates a full-time EMS service and maintains a 24/7 AirLife Helicopter base.THE COMMUNITY:Holyoke is home to the Holyoke Dragons and is truly a “City of Pride and Progress.” Holyoke offers:From different coffee shops to different ethnic flavors, to a quick bite, the sweet small town of Holyoke has a handful of different restaurant options to choose from.Holyoke is based in Phillips County where there are four different rural towns in the county with two schools in the county. Holyoke, Amherst. Paoli, and Haxtun are all within the same county. Holyoke homes a historical museum with different artifacts of what has built Holyoke today. You will see the fields turn different colors throughout different seasons. Your wheat, corn, alfalfa, are some of the few cultivating growths that you will see around your area! If you enjoy hunting, there are plenty of opportunities for a good catch. You will discover that you can see the most beautiful sunsets and the clearest starry nights out in the rural areas. Come take a look at our beautiful little town in the Northeastern corner of Colorado.Click here for a List of Things to Do in HolyokeMelissa Memorial Hospital is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr