Job Description

Bonus Eligible: $5K

What we offer:

• Generous Vacation that is front loaded based on budgeted hours. Example: 40 hours/week = 26 days a year!
• Sick Time on an accrual basis
• 401(k)/Medical/Dental/Vision Insurance/Employee Assistance Program/Voluntary Benefit Options
• Tuition Reimbursement - eligible after 3 months of employment!
• Perk Spots (Discounts at local retailers, restaurants, travel, and childcare centers)
• Career Growth opportunities within the organization via career ladders, committee involvement, and more.

POSITION SUMMARY: The Community Health Nurse plays a crucial role in enhancing healthcare delivery by reviewing and implementing clinical workflows within physician practices to achieve PCMH level 3 recognition. You will identify a population of individuals with chronic diseases who require tailored healthcare interventions based on a comprehensive stratification process, using data from visits, claims, lab results, and admissions. Collaborating closely with clinical support teams, nursing staff, and physicians, you will help drive the system’s goals of improving health outcomes for vulnerable patients.

EDUCATION/CERTIFICATION: Graduate of an accredited nursing program; an Associate's degree in an applicable field is required, while a Bachelor's degree is preferred. A current license as a Licensed Practical Nurse is required.

EXPERIENCE: Minimum of five (5) years of nursing experience in a community health setting, specifically working with vulnerable populations.

COMPETENCIES: Strong analytical, organizational, and interpersonal skills are essential. You should communicate effectively in English, both verbally and in writing, and possess a solid working knowledge of Microsoft Office products. The ability to multitask and operate independently is essential.

ESSENTIAL DUTIES and RESPONSIBILITIES: (This is not an exhaustive list of all responsibilities.)

• Collaborate with physicians and staff to identify patients meeting PCMH standards.
• Act as a resource for referral departments needing clinical support for authorization calls.
• Support practices lacking LPN staff to ensure patient care processes are executed effectively.
• Assist in developing individualized treatment plans for patients.
• Review and implement processes necessary for PCMH compliance across practices.
• Engage in ongoing support to maintain adherence to clinical standards.
• Participate in team meetings and contribute to departmental and organizational committees.
• Uphold patient confidentiality and adhere to HIPAA guidelines.
• Perform other duties as assigned by management.

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