Population Health Care Manager - Registered Nurse or LPN

Southern Illinois Healthcare · Remote Employees-Illinois · $27.69–$42.92/hr (stated in the posting)

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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

Licenses and Certification

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

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):

$27.69

$42.92

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