POPULATION HEALTH NURSE EDUCATOR

Priority Dispatch Corp.; Fairfield (IL); On-site; USD 33,000 - 50,000; Full time

Benefits offered by this job

403(b) Retirement Plan

PPO Health Insurance Plan

HDHP with HSA

Dental Insurance

Vision Insurance

Short/Long Term Disability

Life Insurance

Job summary

Fairfield Memorial Hospital is seeking a compassionate Population Health Nurse Educator to join the Horizon Healthcare Clinic team in Fairfield, IL. The role focuses on chronic disease management, patient education, and care coordination to improve outcomes and reduce barriers to care.

You will educate patients, families, and community members; conduct SDOH assessments; support CCM, discharge planning, and transitions of care; and collaborate with providers and community resources to optimize

Qualifications

• Graduate of an accredited School of Nursing and active RN license in Illinois.
• BSN preferred; certifications in chronic disease management or patient education are a plus.
• Experience with diabetic education and population health initiatives is preferred.

Responsibilities

• Coordinate care and communication among patients, providers, caregivers, and community resources.
• Provide education on chronic disease management to patients and families.
• Conduct SDOH assessments and support CCM initiatives.
• Coordinate discharge planning and transitions of care to improve continuity.
• Assist with insurance and medication assistance programs and advance care planning.
• Manage Target BP Initiative and oversee Low-Dose CT program requirements.
• Assist with CGM setup, education, troubleshooting, and downloads.
• Perform quality audits and support MIPS initiatives and regulatory reporting.
• Promote patient portal engagement and education.
• Collaborate with interdisciplinary teams to address barriers to care.

Skills

Chronic disease management

Patient education

Care coordination

SDOH assessments

CCM initiatives

EHR proficiency

Quality reporting

Interdisciplinary collaboration

Education

RN license in Illinois

BSN

Population health certifications

Tools

Electronic Health Records (EHR)

CGM systems

Quality reporting systems

MIPS reporting

Job description

NATURE OF WORKFairfield Memorial Hospital is seeking a compassionate, proactive, and patient-focused Population Health Nurse Educator to join our Horizon Healthcare Clinic team. If you are passionate about improving health outcomes through education, prevention, care coordination, and community engagement, FMH offers an opportunity to make a meaningful impact on the lives of patients across our region. The Population Health Nurse Educator serves as a vital link between patients, providers, caregivers, and community resources, helping individuals navigate the healthcare system and take an active role in managing their health. This position focuses on chronic disease management, patient education, care transitions, population health initiatives, and quality improvement efforts designed to enhance patient outcomes and reduce barriers to care. The ideal candidate combines strong clinical expertise with exceptional communication skills, a passion for patient advocacy, and a commitment to delivering high-quality, patient-centered care in a collaborative outpatient setting.KEY RESPONSIBILITIESCoordinate care and facilitate communication among patients, providers, caregivers, and community resources.Provide education to patients, families, and community members regarding chronic disease management, including diabetes, hypertension, and other chronic conditions.Conduct Social Determinants of Health (SDOH) assessments and support Chronic Care Management (CCM) initiatives.Coordinate discharge planning and transition-of-care activities to improve continuity of care.Support patients with insurance assistance programs, medication assistance programs, and advance care planning.Manage and coordinate the Target BP Initiative.Oversee Low-Dose CT program management and registry reporting requirements.Assist with Continuous Glucose Monitoring (CGM) setup, patient education, troubleshooting, and downloads.Perform quality audits and support Merit-Based Incentive Payment System (MIPS) initiatives and regulatory reporting.Promote patient engagement through education and utilization of the patient portal.Collaborate with interdisciplinary teams to identify barriers to care and implement solutions.Participate in departmental quality improvement and compliance efforts.Float to satellite clinic locations and provide clinical support as needed.Educate patients regarding available community resources and support services.Serve as a resource for support groups and community educational programs.Perform other duties as assigned.COMPENSATION: $24.00-$36.00 per hourSCHEDULE: Monday- Friday 8:00 am to 5:00 pmBENEFITS403(b) Retirement PlanPPO Health Insurance PlanHDHP Health Insurance Plan w/ Health Savings AccountDental Insurance PlanVision Insurance PlanShort and Long Term Disability InsuranceBasic and Voluntary Life Insurance PlansPaid Time Off (Vacation/Sick/Illinois Paid Leave/Holiday)Flexible Work SchedulesProfessional Development OpportunitiesWHAT FMH HAS TO OFFERFairfield Memorial Hospital is a mission focused healthcare organization dedicated to providing exceptional care to the patients and families we serve, with a strong commitment to improving the health and well‑being of our community through compassionate service, clinical excellence, and a supportive culture that empowers employees to do their best work. We value teamwork, professional growth, and a positive work environment where every team member plays a meaningful role in advancing our mission. FMH offers a competitive salary and a comprehensive benefits package designed to support your health, well‑being, and long‑term professional development, and we strive to ensure employees feel valued, supported, and equipped to make a meaningful impact for the communities of Southern Illinois. FMH is a drug‑free workplace, and all candidates must complete a pre‑employment drug screening in accordance with Illinois law. We proudly uphold Equal Opportunity Employment practices and welcome applicants of all backgrounds without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or veteran status.EDUCATION/QUALIFICATIONSRequired: Graduate of an accredited School of Nursing; Current, active, unrestricted Registered Nurse (RN) license in the State of Illinois.Preferred: Bachelor of Science in Nursing (BSN); Chronic disease management or patient education certifications; Experience with diabetic education and population health initiatives.EXPERIENCERequired: Minimum of 2–3 years of clinical nursing experience.Preferred: Previous experience in community health, primary care, care coordination, case management, population health, or chronic disease management; Experience working with diabetic patients, insulin pumps, and Continuous Glucose Monitoring (CGM) systems.SKILLSStrong understanding of chronic disease management and patient education principles.Excellent communication and interpersonal skills.Ability to effectively educate diverse patient populations and caregivers.Knowledge of care coordination, discharge planning, and care transition processes.Proficiency with Electronic Health Records (EHR) and quality reporting systems.Strong organizational and time-management skills.Ability to collaborate effectively with providers, patients, families, and community resources.Commitment to patient-centered care and continuous quality improvement.Ability to prioritize multiple responsibilities in a fast-paced clinical environment.