Population Health Nurse

Moses / Weitzman Health System; Waterbury (CT); Remote; USD 65,000 - 85,000; Full time

Job summary

A leading health system 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, focusing on chronic disease management and care for underserved populations. The position is available for remote work, requiring a strong commitment to patient care and organizational skills.

Qualifications

• Registered nurse in good standing.
• Minimum of 1 year of successful experience in a healthcare environment.
• Fluent in English and Spanish preferred.

Responsibilities

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

Skills

Communication

Organizational Skills

Customer Service

Attention to Detail

Technology Proficiency

Education

Bachelor’s Degree

Connecticut Registered Nurse License

Job description

Job Description Summary:

Job Description:

The Population Health Nurse provides high-quality, comprehensive, professional nursing care to individuals throughout the lifespan. The PHN offers patients general and focused health education on preventive, chronic, and episodic health 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 as 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 experience in a healthcare environment.
• Ability to recognize signs of patient health distress and respond appropriately.
• Familiarity with medication names and ability to read prescriber’s directions.
• Comfortable using various technology resources; able to listen while typing accurately into patient records.
• Strong organizational skills and attention to detail.
• Excellent communication and customer service skills.

Preferred Skills

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

Required Licenses/Certifications

• Connecticut Registered Nurse License.

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

• Daily and continuous computer use.
• Frequent telephone use.
• Alternating sitting and standing as the home-work environment allows.
• Manual dexterity for administrative tasks; minimal physical activity required.
• Fully remote work requires a clean, organized, distraction-free space, demonstrating HIPAA compliance and following CHC policies on remote work and connectivity.

ADDITIONAL QUALIFICATIONS

Additional Activities and Responsibilities:

• Participate in quality improvement projects.
• Precept others.
• Engage in ongoing nursing education activities.
• Communicate client information accurately to providers and the clinical team, including message taking and telephone communication.

• Collaborate effectively with administrative staff, medical providers, nursing staff, and leadership.
• Access and maintain client confidentiality within appropriate parameters.
• Demonstrate a team-oriented, positive attitude with evidence-based insights.

This position is available for remote work.