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Job Description Summary
The Population Health Nurse provides high quality comprehensive, professional nursing care to individuals throughout the lifespan. The PHN provides patients with both general and focused health education regarding preventive, chronic and episodic health care issues.
Role And Responsibilities
- Outreach to patients to provide health care education during patient visits, by video and by telephone.
- Follows up on emergency room visits and hospital discharges.
- Accurately documents all aspects of patient care in the medical chart on a timely basis.
- Completes medication reconciliation processes.
- Retrieves hospital discharge summaries from the appropriate portal and uploads into patient records, as needed.
- Addresses care gaps related to value based metrics as assigned.
- Other work as delegated by the Population Health Department Director or Supervisor.
Qualifications
Required Skills and Education
- Registered nurse, in good standing.
- A minimum of Bachelor’s Degree.
- A minimum of 1 year experience working successfully in a healthcare environment.
- Ability to recognize signs of patient health distress and address appropriately.
- Familiarity with medication names; ability to read prescriber’s directions for use.
- Comfortable using a variety of technology resources; ability to concurrently listen while typing quickly and accurately into patient record in a clear and concise manner.
- Possesses sound organizational skills and accuracy at all levels of job.
- Proven excellent communication and customer service skills.
Preferred Skills
- Current Connecticut RN license.
- Bachelor’s Degree in Nursing (BSN) preferred.
- Fluent in both English and Spanish with ability to pass fluency exams.
- 1+ year of experience as a nurse in ambulatory care, preferred. Experienced nurses from other settings with a strong interest in chronic disease management and primary care nursing are encouraged to apply.
- Commitment to care of underserved populations.
- Excellent written and oral communication skills.
- Comfort using motivational interviewing techniques.
Required Licenses/Certifications
- Connecticut Registered Nurse License.
Physical Requirements/Work Environment
- Daily and continuous computer use.
- Daily and frequent telephone use.
- Alternating of sitting and standing as home-work environment allows.
- Requires manual dexterity to perform administrative tasks, minimal physical activity required.
- Fully Remote and therefore requires a clean/organized space that is free from distractions at home to complete work.
- Demonstrates a HIPAA compliant work environment.
- Follows CHC policies around remote work space and connectivity requirements.
Additional Qualifications
Additional Activities and Responsibilities:
- Participates in quality improvement projects.
- Precepts others.
- Participates in ongoing nursing education activities.
- Communicates client information to providers and the clinical team accurately. Takes messages and communicates on the telephone.
- Communicates effectively with other administrative staff, collaborates with medical providers, nursing staff and members of leadership.
- Access to clients’ charts and health care information within appropriate parameters.
- Maintains client confidentiality.
- Desires to collaborate with a team positively, providing insightful and evidence–based information.
This Position is available for remote work.