Population Health Nurse

Community Health Center; Connecticut; Remote; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare organization is seeking a Population Health Nurse to provide comprehensive nursing care and health education to patients. This role involves outreach, documentation, and collaboration with healthcare teams to address patient needs, particularly in chronic disease management. Ideal candidates will have a Bachelor's degree in nursing, a valid RN license, and strong communication skills.

Qualifications

• Registered nurse in good standing.
• Minimum of a Bachelor’s Degree.
• At least 1 year of successful healthcare experience.

Responsibilities

• Outreach to patients to provide health care education.
• Accurately document all aspects of patient care.
• Complete medication reconciliation processes.

Skills

Communication

Customer Service

Organizational Skills

Technology Comfort

Education

Bachelor’s Degree

Connecticut Registered Nurse License

Job description

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Job Description

The Population Health Nurse provides high-quality, comprehensive, professional nursing care to individuals throughout the lifespan. The PHN offers patients both general and focused health education regarding preventive, chronic, and episodic health care issues.

Role and Responsibilities

1. Outreach to patients to provide health care education during visits, via video, and by telephone.
2. Follow up on emergency room visits and hospital discharges.
3. Accurately document all aspects of patient care in the medical chart promptly.
4. Complete medication reconciliation processes.
5. Retrieve hospital discharge summaries from the appropriate portal and upload into patient records as needed.
6. Address care gaps related to value-based metrics as assigned.
7. Perform other duties delegated by the Population Health Department Director or Supervisor.

Qualifications

Required Skills and Education

• Registered nurse in good standing.
• Minimum of a Bachelor’s Degree.
• At least 1 year of successful healthcare experience.
• Ability to recognize signs of patient health distress and respond appropriately.
• Familiarity with medication names and ability to read prescriber’s directions.
• Comfort with technology; ability to listen and type concurrently into patient records accurately.
• Strong organizational skills and accuracy.
• Excellent communication and customer service skills.

Preferred Skills

• Current Connecticut RN license.
• Bachelor’s Degree in Nursing (BSN) preferred.
• Fluency in English and Spanish, with passing fluency exams.
• Over 1 year of ambulatory care nursing experience preferred; strong interest in chronic disease management and primary care encouraged.
• Commitment to underserved populations.
• Excellent written and oral communication skills.
• Experience with motivational interviewing techniques.

Required Licenses/Certifications

• Connecticut Registered Nurse License.

Physical Requirements and Work Environment

• Daily computer and telephone use.
• Alternating sitting and standing as workspace allows.
• Manual dexterity for administrative tasks; minimal physical activity.
• Remote work requires a clean, organized, distraction-free space, compliant with HIPAA and CHC policies.

Additional Activities and Responsibilities

• Participate in quality improvement projects.
• Precept and mentor others.
• Engage in ongoing nursing education.
• Accurately communicate client information to providers and team members.
• Maintain client confidentiality.
• Collaborate positively with team members, providing evidence-based insights.

This position is available for remote work.