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):
$27.69 To
$42.92 To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits