Population Health Wellness Nurse

JOB SUMMARY

As a patient-center and quality improvement focused organization, TJRH continuously enhances the health and well-being of people in our The population health wellness nurse plays a critical role in the delivery of quality medical care. This position requires a person with strong clinical skills along with assessment and communication skills. This position will provide clinical care in collaboration with a multidisciplinary team to achieve positive patient outcomes.

JOB REQUIREMENTS

Minimum Education

§  RN required, bachelor’s degree preferred

§  Holds an active Registered Nurse license, and is eligible to practice in the state of Kentucky.

Minimum Work Experience

§  3-5 years of clinical experience

Required Skills

§  Strong analytic skills

§  Strong team player

§  Ability to work with minimal supervision

§  Excellent communication skills;

§  Knowledge of disease pathophysiology and drug utilization;

§  Leadership and organizational skills along with critical, deductive reasoning and problem solving skills;

§  Detailed orientated and analytical skills

FUNCTIONAL DEMANDS

Physical Requirements

Sitting - Greater than 32%

Walking - 16-31%

Standing - 16-31%

Bending/Squatting - 16-31%

Climbing/Kneeling - 16-31%

Twisting - 16-31%

OSHA Category

Minimal potential for direct body fluid exposure

Visual and Hearing Requirements

Must be able to hear clearly with assistance.

Must be able to see with corrective eyewear.

Color vision ability required.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 100lbs 

Pushing - up to 100lbs

LEADERSHIP CAPABILITIES

Supports the hospital Mission, Service and Values.

ESSENTIAL FUNCTIONS

§  Participates in a multidisciplinary team to develop and implement care management strategies that eliminate care gaps, and fragmentation of healthcare services provided.

§  Establishes and maintains positive relationships with all internal and external customers.

§  Excellent communication skills.

§  Demonstrates leadership skills and the ability to direct the design, implementation and ongoing modifications of the population health program.

§  Demonstrates strong organizational skills.

§  Integrate evidence based clinical guidelines for preventative care.

§  Excellent interpersonal skills, patient engagement skills and the ability to work independently and collaboratively are key requirements to this role.

§  Maintain a patient registry for identified wellness visits.

§  Conduct wellness visits with physician oversight, which includes: review and update medications, problem list, allergy list, risk factors etc.

§  Coordination and collaboration with primary care team.

§  Monitor adherence to treatment plans, self-monitoring, scheduling necessary appointments.

§  Assess and provide support for patient self-management.

§  Maintain all required documentation of activities.

§  Provide consistent communication to the care team to evaluate patient/family status.

§  Closely supports patient through transitions of care.

§  Attend medical and specialty appointments with patient when appropriate.

§  Attend appropriate meetings, rounding, and conferences as needed.

§  Participate in quality improvement activities as assigned.

§  Other duties as assigned.