RN Director, Population Health & Care Coordination

Your Health; Aiken (SC); On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Competitive compensation package

Job summary

Your Health in Aiken, SC is seeking a Director of Population Health to lead clinical and strategic initiatives across regions, with a focus on high-risk patient populations, data-driven decision making, and care coordination.

This full-time, salary-based 8-hour position will drive risk stratification, care transitions, and value-based outcomes while collaborating with executives and regional teams.

Qualifications

• RN license in good standing.
• 0
• Minimum 3 years clinical experience in home-based or community health.
• Familiarity with value-based care, risk stratification, and patient engagement.
• Proficiency with remote monitoring, telemedicine, and EMR.

Responsibilities

• 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.

Skills

RN license

BSN preferred

Clinical experience

Value-based care

Remote monitoring

Telemedicine

EMR proficiency

Communication skills

Leadership

Team player

Travel

Education

BSN degree

Tools

EMR systems

Remote monitoring tech

Telehealth platforms

Job description

Your Health in Aiken, SC is seeking a Director of Population Health to lead clinical and strategic initiatives across regions, with a focus on high-risk patient populations, data-driven decision making, and care coordination.

This full-time, salary-based 8-hour position will drive risk stratification, care transitions, and value-based outcomes while collaborating with executives and regional teams.