Abrar Admin

Tyler Holmes Memorial Hospital

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 Description
 
 
 
 
 Job Summary
 
 
 
 The Population Health Nurse plays a highly visible and critical role in providing leadership for the development and deployment of a cogent strategy for building a culture of health for the patients in the Tyler Holmes Rural Health Clinics. The Population Health Nurse will be a wellness advocate providing leadership for wellness programs that drive Tyler Holmes Memorial Hospital&rsquo;s efforts to improve the overall health of our patients with chronic disease in an effort to successfully manage the increasing cost of health care.
 
 
 
 Responsibilities
 
 
 
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 Coordinates all Medicare Wellness face to face visits
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 Carries out transitional care management program.
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 Conducts chronic condition management for individuals with target chronic conditions.
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 Conducts outreach through face to face follow-up, by telephone, secure e-mail, or postal mail with goal of engaging enrollee.
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 Assesses individual needs and develops plans to address needs/issues related to condition(s) and/or overall health.
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 Conducts patient education regarding condition and symptom management, red flag warning signs, the importance of adhering to medications and evidence-based guidelines, and refers to customer-sponsored or community support programs.
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 Using the nursing process, conducts prospective, concurrent, and retrospective review of activities for uncomplicated and complex cases for healthcare facilities.
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 Carries out transitional care management program for uncomplicated and complex cases through avoidance of hospitalization or facilitating the timely discharge of hospitalized members including discharge planning.
 
 
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 Requirements
 
 
 
 
 Minimum Qualifications:
 
 
 
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 Registered Nurse degree
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 Minimum 1 year clinic professional experience.
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 Demonstrated ability to work with multi-departmental teams to successful achievement of patient and organizational goals related to Patient Centered Medical Home.
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 Demonstrated ability to lead through the creation of innovative strategies, methods, and approaches, working independently and in a team environment.
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 Have a basic understanding of CPT, ICD 10 and Hierarchical Coding Concepts
 
 
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 Working Conditions
 
 
 
 Work is performed within a normal office environment with ambient temperatures and involving occasional reaching, stretching, bending, and moving about
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Population Health Nurse

Join Tyler Holmes Memorial Hospital and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Tyler Holmes Memorial Hospital

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Population Health Nurse