Registered Nurse – Population Health

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

📋 Description

• Deliver nursing care and manage care coordination for a specific patient demographic identified through risk stratification reports.

• Present findings, trends, and recommendations related to population health to client leadership and matrix partners.

• Engage in client meetings to evaluate outcomes, intervention efficacy, and emerging health priorities.

• Collaborate with client stakeholders to prioritize initiatives and strategies for population health engagement.

• Conduct comprehensive biometric health risk assessments and provide education.

• Adhere to established nursing protocols and procedures.

• Monitor medication adherence and offer patient education.

• Inform patients about chronic conditions, abnormal biometric values, health necessities, and lifestyle modifications.

• Utilize motivational interviewing techniques to encourage sustainable dietary, exercise, and stress management changes.

• Assess customer health education needs and identify psychosocial barriers to care.

• Develop health improvement plans and personalized, evidence-based health goals in collaboration with patients.

• Track and oversee compliance with screening protocols.

• Facilitate preventive health screenings, such as cancer screenings.

• Lead and support promotional activities related to health and wellness, group coaching, wellness challenges, seminars, and wellness campaigns at client sites.

• Coordinate communication with external healthcare providers, including primary care physicians and specialists.

• Collaborate with community providers and resources to meet patient needs and address care gaps.

• Reinforce adherence to provider care plans.

• Follow up with patients regarding recommendations for after-hours care.

• Refer patients to clinical programs and services as necessary.

• Assist patients in navigating benefits and accessing essential resources.

• Advocate for timely and appropriate healthcare services.

• Support health-related events at the site, including open enrollment, wellness committees, flu shot clinics, and health fairs.

• Utilize reports and dashboards to identify high-risk patients and proactively engage them in care management.

• Prioritize patient outreach and interventions based on risk stratification.

• Ensure adherence to regulatory requirements.

• Complete necessary electronic documentation in accordance with policies and procedures.

⛳️ Requirements

• Unrestricted compact state RN licensure is required.

• A minimum of three years of clinical practice experience is necessary.

• A bachelor's degree in a health-related field is required.

• Current BLS/CPR/AED certification is mandatory.

• Proficient computer skills, including Word and Excel, are essential.

• Strong interpersonal skills are required.

• Ability to work collaboratively within a team environment is necessary.

• Flexibility and eagerness to learn new information and quickly develop new skills are important.

• A high energy level and a passion for health improvement are essential.

• Serve as a positive role model by demonstrating healthy behaviors.

• Self-motivated with the ability to thrive in an independent role.

• Experience in population health management, care management, clinical program management, and/or health analytics is preferred.

• Care management or case management certification is preferred.

• Familiarity with healthcare analytics and reporting tools is preferred.

• Knowledge of employer-sponsored health plans and wellness strategies is preferred.

• Experience with Epic, population health platforms, or care coordination systems is preferred.

• A reliable broadband or fiber optic internet connection with a minimum of 10Mbps download and 5Mbps upload speed is required for remote work.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical insurance coverage.

• Vision insurance benefits.

• Dental insurance coverage.

• Access to well-being and behavioral health programs.

• Participation in a 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement opportunities.

• Minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.

• Dedicated home office work arrangement.