Population Health Nurse at COMMUNITY MEMORIAL HOSPITAL in Cloquet, Minnesota

Job Description:

The Population Health Nurse will work in partnership with patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines. Coordinates care for patients with chronic disease and manages effective care transitions for them within the continuum. Partners with the provider care team for successful preventative care visits to reduce the severity of chronic disease and avoidable acute illness. Provides effective clinical health coaching to assist patients with self-management of their chronic disease and life-style changes to mitigate health risk. Promotes effective partnerships and utilization of community resources. Facilitates a "shared goal model" within and across settings to achieve coordinated high-quality care that is patient and family-centered.
Requirements: Must have a valid Minnesota Registered Nurses license. At least two (2) years' experience in caring for chronic disease and experience in provider practice or clinic health setting preferred. Previous Care Coordination, Case Management, Home Health or Behavioral Health experience preferred. Previous experience with mobilizing community resources, navigating patients through the healthcare continuum, and working with disparate populations preferred. Ability to identify and implement appropriate patient communication strategies. Previous experience with health IT systems and data reports preferred.