Job Description
Bonus Eligible: $5K
Position Summary: The Population Health Nurse reviews and implements clinical workflows within physician practices to achieve PCMH level 3 recognition. Responsible for identifying vulnerable populations using data from visits, claims, labs, medications, and hospitalizations, collaborating with staff, providers, quality committees, and IT to improve clinical outcomes for chronic disease patients through coordinated care.
Responsibilities include collaborating with providers to identify at-risk patients, supporting clinical care plans, ensuring compliance with PCMH standards, and leading quality initiatives. Active participation in team meetings and maintaining HIPAA compliance are essential.