Population Health Nurse

Bonus Eligible#$5K POSITION SUMMARY : The Population Health Nurse is responsible for the review and implementation of clinical workflows and processes within the ECMP physician practices to ensure PCMH level 3 recognition.# This role is responsible for the determination of a population of individuals whose disease acuity has been determined to be vulnerable, using a stratification process that incorporates data from available visits, claims, lab, medication, and admissions and discharges. Working closely with clinical support in the practices, staff, nursing and physicians, quality committee, NOC and IT, the Population Health Nurse is tasked with achieving system goals of improving clinical outcome for patients with chronic diseases by using timely and appropriate coordination of quality healthcare services to meet an individual#s specific health needs to promote positive outcomes. EDUCATION / CERTIFICATION : Graduate of an accredited school of Nursing. Associate degree in an applicable field required / bachelor#s degree preferred. # Must have a minimum of a current license as a Licensed Practical Nurse in the State of Connecticut.# EXPERIENCE : Must have at least five (5) years of nursing experience in a community practice health setting working with vulnerable populations. COMPETENCIES : Requires good analytical, organizational and interpersonal skills as well as the ability to communicate effectively in English, both verbally and in writing.## Working knowledge of Microsoft office products. Strong ability to multitask. Self-starter and ability to work independently. ESSENTIAL DUTIES and RESPONSIBILITIES : Disclaimer : Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. Job-Specific Competency Collaborates with physicians, providers, and practice staff in identifying vulnerable patients required for PCMH standards. Acts as a resource for referral department with authorization calls that require clinical intervention. Provides support to ECMP physician practices that do not have LPN staff in the practice.## Responsible for supporting physicians in the development of individualized treatment care plans. Reviews PCMH required processes and collaborates with ECMP Physician offices to implement.# Advanced research and planning for implementation of future PCMH standards. Provides ongoing support to ECMP practices to ensure that clinical standards are being adhered to.# In office contact is required from time to time to determine workflow changes. Support Practice Managers and clinical staff with workflow changes identified.# Determines Clinical quality initiative projects and implements them in ECMP physician practices.### Participates in regular team meetings and peer review activities. Participates in departmental and organizational committees as applicable. Promotes collaborative teamwork; able to work with peers in a team situation. Maintain patient confidentiality and adhere to HIPPA guidelines. Other duties, as assigned by management.