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Community Health Nurse Population Health at Flatiron Construction Corp

Mamou, Louisiana, United States -

Full Time

Start Date

Immediate

Expiry Date

21 May, 26

Salary

0.0

Posted On

20 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Chronic Disease Management, Care Coordination, Preventative Care, Clinical Health Coaching, Self-Management Support, Data Collection, Data Analysis, Chart Audits, Quality Incentive Programs, Vaccine for Children Program Training, Medicare Population Management, CCM Eligibility Identification, RPM Eligibility Identification, Wellness Visits Tracking, Preventative Screenings Follow-up

Industry

Hospitals and Health Care

Description

Description The Population Health Nurse will promote effective partnerships between patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines to coordinate care for patients with chronic disease and effectively manage care transitions to facilitate a “shared goal model”. The Population Health Nurse will partner with the provider care team for successful preventative care visits to reduce the severity of chronic disease and avoidable acute illness. ESSENTIAL DUTIES & RESPONSIBILITIES: *Manages the primary clinics’ Medicare population *Identifies eligibility for CCM and RPM *Performs pre-assessment evaluation *Completes and tracks annual wellness visits *Follow up with preventative screenings *Coordinates with clinics providers and staff *Provides effective clinical health coaching to assist the patients with self-management of their chronic disease and life-style changes to mitigate health risks. *Completes data collection, analysis and reports in a timely manner *Assists with chart audits and data submission for various payers related to quality incentive programs. *Train/educates new clinic LPN’s and M.A.’s on Vaccine for Children Program (VFC) *Assists Director of Clinical Operation with special projects * Some travel between Savoy Medical Clinics will be required Requirements · Current LPN licensure in State of Louisiana. · Current BCLS certification. · Physician office experience (preferred) and/ or the demonstrated ability to adapt to situations.

Responsibilities

The Population Health Nurse will promote effective partnerships to coordinate care for patients with chronic diseases and manage care transitions using a shared goal model. This role involves partnering with the provider care team to ensure successful preventative care visits aimed at reducing chronic disease severity and avoidable acute illness.