Population Health Care Manager - Registered Nurse or LPN

Southern Illinois Healthcare; Springfield (IL); Remote; USD 38,000 - 59,000; Full time

Job summary

Southern Illinois Healthcare is seeking a licensed nurse to serve as a patient advocate and care coordinator in a fully remote role across Illinois.

You will manage cohorts of patients with chronic conditions, leverage EMR tools like EPIC, and collaborate with physicians and care teams to close gaps in care and improve quality metrics.

Qualifications

• Associates degree in nursing required.
• Current LPN nursing license, pursuing RN; RN strongly preferred.
• Minimum three years' experience with Electronic Medical Records, EPIC preferred.

Responsibilities

• Uses nursing knowledge to drive care coordination for patients with chronic diseases or health management needs.
• Maintains multiple caseloads and deadlines independently.
• Develops individualized care plans based on patient needs and proposed solutions.
• Applies clinical coaching methods to promote patient engagement and self-management.
• Communicates with care team members to coordinate care.

Skills

Nursing

Care coordination

Telehealth/Remote work

EMR experience

Excel

Word

PowerPoint

Web conferencing

Education

Associates degree in nursing

Tools

EPIC EMR

Job description

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.

Must be Registered Nurse or LPN in state of Illinois

Location: State of Illinois

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

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:careers/benefits