Population Health Nurse - Registered Nurse

Your Health Organization; Marietta (GA); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Competitive compensation package

Employer matched 401K

HDHP Insurance + Employer Matched HSA

Generous PTO

Prescriptive services included

Job summary

Your Health Organization in Marietta, GA seeks a dedicated Population Health Nurse (RN) to drive population health initiatives across regions and directly manage high-risk patient populations. The role blends data-informed decision-making, clinical case management, and leadership to improve care quality and reduce unnecessary utilization.

This position will be working daily in our Marietta office and is a full-time, salary-based 8-hour shift plan (8:00 AM–5:00 PM, Monday–Friday).

Qualifications

• Licensed RN with current license in good standing; BSN preferred.
• Experience in population health, care management, or home-based/community settings preferred.
• Proficient with EMR systems, telemedicine, remote monitoring, and data-driven care planning.

Responsibilities

• Develop and implement strategies to identify and manage at-risk patient populations using clinical judgment and data analytics.
• Collaborate with executive leadership and analytics teams to improve outcomes tied to value-based contracts.
• Monitor trends in chronic disease burden, hospitalizations, ED use, readmissions, and patient engagement to inform targeted interventions.
• Serve as the clinical lead for regional population health efforts and drive consistency across teams.
• Lead outreach and coordination for high-risk patients, including those with complex medical or social needs.
• Support transitions of care following hospital discharge or acute events, ensuring timely follow-up and appropriate plan of care.
• Coach and mentor staff on documentation, coordination standards, and value-based care concepts.

Skills

Leadership

Data analytics

Patient care coordination

Technology proficiency

Education

RN License in good standing

BSN preferred

Tools

Electronic Medical Records (EMR)

Telemedicine platforms

Job description

Population Health Nurse - Registered Nurse

We are looking for a dedicated Registered Nurse to join our team as a Population Health Nurse to service our patients in the Marietta area. The Population Health Nurse is a clinical and strategic leader responsible for driving Your Health’s population health initiatives across regions, while also directly managing high-risk patient populations. This role blends data-informed decision-making, clinical case management, and
leadership to improve care quality, reduce unnecessary utilization, and ensure effective transitions of
care for complex patient cohorts.

The Population Health Nurse is accountable for identifying gaps in care, overseeing risk stratification efforts, engaging with high-risk patients, and ensuring effective care coordination workflows are executed from a patient-first, value-based perspective.

This position will be working daily in our Marietta office. This is a full-time, salary-based 8-hr position 8:00AM-5:00PM) (Monday-Friday).

About

We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.

Why Choose a Career at Your Health?

Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.

• Competitive Compensation Package with Bonus Opportunities
• Employer Matched 401K
• Free Visit & Prescriptive Services with HDHP Insurance Plan
• Employer Matched HSA
• Generous PTO Package

What Are We Looking For?

A successful Population Health Nurse will be able to perform these essential duties and
responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to
enable individuals with disabilities to perform the essential functions.

The following is a list of essential functions, which may be subject to change at any time and without
notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).

Areas of Responsibility:

• Develop and implement strategies to identify and manage at-risk patient populations using clinical judgment and data analytics.
• Partner with executive leadership and analytics teams to improve outcomes tied to value-based contracts and payer performance goals.
• Monitor trends in chronic disease burden, hospitalizations, ED use, readmissions, and patient engagement to inform targeted interventions.
• Serve as the clinical lead for regional population health efforts and drive consistency across teams.
• Personally manage outreach and coordination for high-risk patients, including those with complex medical, behavioral, or social needs.
• Support transitions of care following hospital discharge, SNF stays, or acute events—ensuring timely follow-up and appropriate plan of care execution.
• Coach and mentor other clinical staff on documentation, coordination standards, and value-based care concepts.
• Participate in organizational training sessions and support onboarding of new staff where population health strategy intersects with direct care.

Qualifications

• Registered Nurse (RN) license required; BSN preferred. License must be in good standing.
• Minimum 3 years of clinical experience, ideally in a home-based, community health, or care management setting.
• Demonstrated experience managing high-risk or complex patient populations.
• Familiarity with value-based care models, risk stratification, and patient engagement strategies.
• Must be proficient in utilizing technology tools and platforms for remote patient monitoring, telemedicine, and electronic medical records.
• Ability to read and communicate effectively.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order