(Archived) Registered Nurse Population Health

Purpose of Position:

To provide a registered nurse (RN) perspective on an interdisclipinary team to improve health outcomes of the residents within the region through collaboration with the Health Corporation Patient Centered Medical Home (PCMH) and outside agenices; specialize in patient care processes and clinical workflows; assist providers as an RN on village community travel;

Uphold the organization’s vision, mission, and corporate values. Demonstrate understanding of and compliance with organization’s policies, procedures, code of conduct and work rules.

Essential Functions:

• Practice as a clinical registered nurse

• Promote patient independence through helping establish patient care goals and teach patients and their families to understand conditions, medications, and self-care skills

• Facilitate the collaboration between clinic RNs, providers and agencies to provide ongoing follow-up and care coordination services; monitoring patient care plans.

• Participate in the development and validation of electronic health record tools to improve population health goals

• Collaborate with cross-functional teams inlcuding specialty clinics and other events in support of healthcare promotion and care coordination

• Perform other duties as assigned

Personal Traits:

All employees are expected to consistently demonstrate the organization’s values: integrity, cultural sensitivity and respect for traditional values, continual learning and improving, compassion, teamwork and pride. Employees are expected to demonstrate integrity, professionalism, accountability, cooperation with and consideration of others.

Required Knowledge:

All employees are expected to have general knowledge of typical office technologies such as computers, printers, copiers, fax machines, and typical office software.

Job Specific knowledge is listed below:

• Practicing clinical registered nurse

• High level knowledge of care coordination processes

• Knowledge of chart documentation and electronic health record

• Knowledge of referral services and interdisciplinary team leadership

Required Skills and Abilities:

All employees are expected to have a broad range of skills and abilities centered on a strong patient focus, efficient performance, and teamwork. All employees should have patient/customer service skills, interpersonal skills and good communication skills. All employees should have the ability to manage their time and organize their work to ensure efficient performance. In addition, all employees should have the ability to follow policy, procedure and instructions, actively communicate with their supervisors to ensure understanding and manage their work accordingly. Finally, all employees should have the ability to understand and manage patient/customer confidentiality.

Job specific skills and abilities are listed below:

• Ability to lead, motivate and collaborate

• Above average communication skills

• Ability to multi-task

• Above average computer skills