Population Health Specialist

Population Health Specialist

Requirements

• Registered Nurse-ADN or BSN-Required
• Holds and maintains BLS certification through the American Heart Association
• Minimum 2 years’ experience in a clinical environment. Experience in an FQHC environment strongly preferred.
• Knowledge MS Office, including Word, Excel, PowerPoint, and Outlook. Microsoft Access and Visio preferred.
• Excellent organizational and interpersonal skills with exceptional professional work ethic.
• Strong critical thinking and problem-solving skills.
• Unrestricted license to practice nursing in the state of Ohio
• Valid drivers license

Responsibilities

• Assess and triage patient symptoms via phone using the nursing process and approved guidelines, to assist patient in obtaining the appropriate level of care and/or self-care advice maximizing office productivity.
• Assist with comprehensive patient examinations, screenings, health education, and treatment of patients within the nurse’s scope of practice, using a systematic approach to history and physical appraisal of the patient, in person and over the phone.
• Provides appropriate counseling and health education to patients, providing necessary literature and instructions for continuity of care, in person and over the phone.
• Able to accurately prepare, administer/perform, and record medications and / or procedures directed by medical provider including nurse practitioner.
• Develops and implements patient comprehensive management plans, records progress notes, and assists in provision of continuity of care.
• Educates patients on disease and compliance with medical regimen, prescribed therapeutic and drug regimens, plan of care, self-care management, preventative health guidelines and the post-acute continuum of care.
• Identifies & assists patient in accessing community resources. Evaluates effectiveness of developed plan of care; modifies and adjusts as appropriate to achieving desired process, utilization and clinical outcomes.
• Reviews potential denials and refers all medical necessity denials to Medical Director or Physician designee for final determination.
• Audit care management charts for completion
• Implement and support protocols around clinical problems such as following up on referrals, management of abnormal tests and bringing patients up to date with preventative screenings.
• Initiate, collect and execute population health outreach efforts.
• Assist in the creation and delivery of presentations to various committees and boards about our programs.
• Documenting and maintaining patient records of services provided according to prescribed program standards, documents all nursing care consistent with professional standards utilizing the agency approved EMR system.
• Maintain a clean and orderly clinical atmosphere, performing routine monitoring and proper handling of equipment, medications, and supplies.
• Serves as a clinical resource and go-to for Medical Assistant and other LPN staff, including staff training, education, and competencies as needed.
• Maintains patient confidentiality at all times in accordance with HIPPA Regulations.
• Follows Health Department guidelines regarding communicable diseases.
• Other clinical duties and responsibilities as assigned by the Director of Clinical Services or Quality Coordinator.

Preferred Qualifications

• Experience in an FQHC environment strongly preferred.