Population Health Care Manager – Registered Nurse, LPN

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Act as a patient advocate.

• Foster collaborative relationships with patients, families, and healthcare professionals.

• Function as a health coach to encourage healthy lifestyles among patients within a designated cohort.

• Collaborate with stakeholders to enhance quality outcomes and metrics.

• Lead care coordination initiatives for patients with chronic illnesses or other health management needs.

• Handle multiple caseloads and meet deadlines independently and promptly.

• Create and sustain individualized care plans and objectives.

• Utilize clinical coaching techniques to encourage patient engagement, autonomy, and self-management.

• Communicate with Care Team members to ensure coordinated care.

• Keep up with health coach or other care management training and/or certification.

• Perform concurrent medical record reviews for care gap analysis.

• Collaborate with patients and providers to address care gaps in value-based contracts.

• Develop and analyze hospitalization and quality metrics, including identifying problem areas and crafting improvement strategies.

• Assist with the ordering of laboratory and diagnostic tests in accordance with departmental clinical guidelines.

• Participate in huddles and meetings.

• Collaborate with Community-Based programs to promote Population Health initiatives.

• Work under the guidance of the Director of Clinical Operations - Population Health and indirectly with the Medical Director of Population Health.

⛳️ Requirements

• Must possess a Registered Nurse or LPN license in the state of Illinois.

• An Associate’s degree in nursing is mandatory.

• Current LPN nursing license is required, with a commitment to pursuing RN status.

• RN is highly preferred.

• A minimum of three years of experience using Electronic Medical Record systems; EPIC experience is preferred.

• Strong background in ambulatory and/or inpatient acute care nursing.

• Capability to communicate effectively with physicians, care team members, and caregivers.

• Clinical expertise to support and comprehend disease progression and common related interventions.

• Basic knowledge and experience with web-based meetings and communications, Excel, Word, PowerPoint, and other software applications.

• Intermittent hand manipulation is necessary.

• Ability to lift and carry up to 20 lbs intermittently.

🏝️ Benefits

• Benefits Guide/Plan Information provided by the employer.