Population Health Care Manager - Registered Nurse or LPN

Southern Illinois Healthcare; Illinois; Remote; USD 65,000 - 90,000; Full time

Job summary

Southern Illinois Healthcare is seeking a Registered Nurse or Licensed Practical Nurse for a fully remote Population Health role in Illinois. You will advocate for patients, coach healthy lifestyles, and partner with care teams to improve quality measures.

The position requires an Associate Degree in Nursing and an active IL LPN license (RN preferred), plus at least three years of EMR experience (EPIC preferred). Remote work experience and strong communication are desired.

Qualifications

• Associates degree in nursing required.
• Current LPN nursing license, pursuing RN; RN strongly preferred.
• Minimum of three-year experience using Electronic Medical Record systems (EPIC preferred).
• Strong background in ambulatory and/or inpatient acute care nursing.
• Ability to communicate effectively with physicians and care teams.

Responsibilities

• Uses nursing knowledge to drive care coordination for patients with chronic diseases.
• Maintains multiple caseloads and deadlines independently and on time.
• Develops individualized care plans and goals for patients within cohorts.
• Applies clinical coaching to promote patient engagement and self-management.
• Coordinates with care team members to optimize care.
• Conducts concurrent medical record reviews for care gap reporting.
• Assists with orders for laboratory and diagnostic testing per guidelines.
• Partners with community programs to promote Population Health.

Skills

EMR navigation

Care coordination

Patient coaching

Communication

Remote work

Education

Associate degree in nursing

Tools

Excel

Word

PowerPoint

Web meetings tools

Job description

Must be Registered Nurse or LPN in state of Illinois

Shift: 7:30a-4p, MON-FRI

Time Type: Full-Time

Facility/Clinic Name: Fully Remote

Responsible for serving as a patient advocate. Serves as a health coach to promote healthy lifestyle for patients within cohort. Partner with stakeholders to improve quality outcomes and measures.

Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality

Associates degree in nursing required.

Current LPN nursing license, pursuing RN;

RN strongly preferred

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.

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

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.

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