The Community Outreach Population Health Nurse Practitioner (NP) will provide primary health care and behavioral health services as a member of a healthcare team comprised of Behavioral Health and Community Outreach RNs, Peers, Community Health Workers, and drivers. The MHC has a focus on Behavioral Health and Addiction Medicine. Able to work in a cooperative setting and interested in collaborating with a dynamic, developing behavioral health and addiction medicine team. Services provided by the MHC team include behavioral health care, preventative/primary care, vaccines, point of care testing/lab draws, and referrals. Preferred: PMHNP - Psychiatric/Mental Health Nurse Practitioner At least 1 year of experience in the field of addiction medicine preferred but not required.
SummaryThe Registered Nurse Health Promotion/Disease Prevention Program Manager is located in the Primary Care Service at the Jamaica Plain location.. DutiesDuties to include: Collaborating with the Healthy Living Team (Health Behavior Coordinators (HBC) - Influenza Campaign Coordinator - MOVE!. Coordinator - and Veterans Health Education Coordinator (VHEC
Position Summary:The Population Health Nurse will promote effective partnerships between patients, families, nurses, physicians and other healthcare disciplines to coordinate care for patients with chronic disease and effectively manage care transitions to facilitate a “shared goal model”.. The nurse will provide effective clinical health-coaching to assist patients with self-management of their chronic diseases and life-style changes to mitigate health risk.. Implement effective internal tracking systems for patients such as annual wellness visit scheduling, transition of care follow-up calls/timely provider visits and CCM non-face-to-face monthly encounters.. Provide clinical health coaching interventions to motivate patients and families toward successful self-management of chronic disease.. Identify and refer patients to counseling services/resources within the practice to assist with obesity, tobacco cessation, fall prevention, diabetes prevention/management, depression, anxiety and managing cardiovascular disease.
The RN Navigator is a member of the patient's care team and acts as a patient advocate providing proactive outreach to patients with chronic conditions.. Develops relationships with and facilitates referrals to community resources including Skilled Nursing, Rehab, Long Term Acute Care, Home Health, Hospice, Palliative Care, Transportation, Medication Asst., DME, and other community resources.. Performs ongoing essential Care Management activities of assessment, barrier and strengths identification, planning implementation, coordination, monitoring, and evaluation of patients.. Collaborates with team members in the discharge process, performing outreach/documentation according to CMS guidelines and the Population Health workflow.. Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient's condition is worsening and how to respond.
Coordinates the implementation of clinical practice guidelines to support AMEDD prevention and disease management-based population health initiatives through consultation and collaboration with health care providers, clinical and administrative support staff, and patients. Assists to standardize Disease Management across the patient care continuum by monitoring Disease Management of the patient in accordance with the clinical practice guidelines.. As an imbedded staff member within the PCMH practice, serves as crucial link between health care providers, members of the primary care team, and Nurse Case Managers in order to identify beneficiaries with short- and long-term health care needs. Utilizes the six core principles of population health management (i.. E. Identification and assessment, demand forecasting, demand management, capacity management, evidenced-based care and prevention, and program evaluation and feedback), as a framework for providing population-based health interventions to the enrolled population
In our practice we have six family medicine providers, nine resident providers, and offer additional on sight resources for patients such as a clinical pharmacist, care manager, social worker and population health nurse. Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!. Optional identity theft protection, home and auto insurance, pet insurance.. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.
Job Summary: The Population Health & Quality Assurance Registered Nurse (RN) is responsible for organizational quality and process improvement initiatives, monitoring clinic performance, program development related to clinical quality and performance measures, and associated education for the organization that align with goals set forth by HCPF, CHPA, AAAHC and other regulatory entities.. The Quality Assurance RN works closely with the Quality Oversight RN and Health Informatics Analyst, as well as clinic staff and leadership to identify areas of focus and collaboration.. Collaborates with Health Informatics Analyst to utilize population health data to identify trends, gaps in care, and opportunities for improvement; Assists with New Employee Orientation. Must meet and maintain driver criteria as prescribed by Peak Vista's insurance underwriter.. Knowledge of Regulatory Compliance to include governing bodies such as AAAHC, HRSA & HEDIS. Compliance with HIPAA and all applicable rules and regulations.
Our comprehensive benefits package includes health coverage, continuing education support, and wellness initiatives.. Support at-risk clients with aging care and service needs to promote effective education, -well self-management support, timely care, and service delivery to achieve optimal quality and financial outcomes.. Participate in the centralized monitoring for Population Health clients with telemonitoring units, including on-call weekend rotation.. Participate in meetings and collaborative planning related to population health strategy.. Knowledge of nursing; strong assessment, problem-solving, and organizational skills; familiarity with health and social resources; understanding of geriatric care; understanding of acute/chronic illness, basic mental health, and normal/abnormal aging process; and knowledge of basic medical terminology.
The RN Navigator is a member of the patient’s care team and acts as a patient advocate providing proactive outreach to patients with chronic conditions.. Develops relationships with and facilitates referrals to community resources including Skilled Nursing, Rehab, Long Term Acute Care, Home Health, Hospice, Palliative Care, Transportation, Medication Asst., DME, and other community resources.. Performs ongoing essential Care Management activities of assessment, barrier and strengths identification, planning implementation, coordination, monitoring, and evaluation of patients.. Collaborates with team members in the discharge process, performing outreach/documentation according to CMS guidelines and the Population Health workflow.. Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient’s condition is worsening and how to respond.
Mountain View Hospital is looking for a Phlebotomist/CNA to join our team!. Organize requisitions received for collection, Maintains records of tests performed Scanning orders and lab results into electronic medical system, print and fax lab reports to ordering doctor.. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg.. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.. Valid Certificate Phlebotomist, Certificate, Certified Nursing Assistant Valid driver’s license.
Under the direction of the Population Health Management leadership, the Population Health Registered Nurse (PHRN) serves as a liaison between the Memorial Healthcare System (MHS), Memorial Health Network (MHN), Broward Guardian, ACHN, Memorial Physician Group (MPG), community providers, post-acute care facilities, external healthcare organizations, and the patient.. Performs concurrent medical record review using specific indicators and criteria established by the Population Health Nurse II. Monitors the quality, frequency and appropriateness of healthcare delivery by post-acute providers and reports variations of plan of care, health status, or psychosocial issues to PCP and appropriate members of the care team.. Discusses assessment with Population Health Nurse II for co-signature on assessment.. Follows the patient-family centered care plan developed by the Population Health Nurse II. Initiates patient conference with Population Health Nurse II for modifications to care plan.. Under the guidance of the Population Health Nurse II provides telephonic care/case management services including but not limited to health risk assessment, medication clarification, clinical-decision making, remote patient monitoring, and disease management for rising to high risk patient population.
In collaboration with organizational, ambulatory, and clinic/practice leadership, the PHSO Population Health Program Manager is responsible for the development, implementation and management of care management activities aimed at improving population health outcomes and maximizing Value Based Care initiatives.. Collaborates/consults with other departments including Clinical Integration, Data, Quality and Practice Transformation to identify data needs related to care management and implements performance/outcome measures.. Acts as a resource to the Practice Transformation and Quality Teams to support Practice Managers and Physicians in implementing care delivery redesign to include care coordination related activities through direct and indirect methods.. Assures the competence and effectiveness of professional and support staff that provide care, and integrates population health and care management (CCM/ACMA/NCQA) driven competencies.. Demonstrates working knowledge of Population Health incentives as it relates to the financial relationships within the PHSO, including but not limited to, Value Based Care principles, HEDIS metrics, quality outcome data, reimbursement models and HSCRC initiatives.
Virginia at Home (VaH) offers home-based primary care for older adults who are homebound due to medical, functional, or cognitive issues.. Services include house calls, caregiver support, and Advance Care Planning.. Other responsibilities include traveling to patients' homes to perform frontline nursing care, when needed, including assessments, lab specimen collection, vaccine administration, and patient education.. This job description integrates the AAACN Scope and Standards of Practice for Professional Ambulatory Care Nursing, the ANA Nursing: Scope and Standards of Practice, and the ANA Code of Ethics for Nurses with Interpretive Statements, with the UVA Nursing Professional Practice Model.. The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physicians Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff.
The Registered Nurse (RN) position is responsible for providing professional nursing care for clinic patients following established standards and practices.. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.. Department: 3042 RURAL HEALTH COLVILLE. Category:Healthcare, Keywords:Registered Nurse (RN), Location:Colville, W99114
Graduate of accredited Nurse Practitioner school.. Current licensure with the Illinois Department of Professional Regulations.. Provides service to patients in the Rural Health Clinic, maintaining quality medical care in compliance with physicians' orders, Mid-Level protocols, and hospital and departmental policies.. Responsible for the evaluation, formulation, and implementation of appropriate treatment plans for the patient population from infants through geriatrics.. Also assists with the treatment and follow-up of Occupational Medicine clients.
Join our team as a day shift, full-time, Labor of Love Population Health Coordinator Registered Nurse in Albuquerque, NM.. Will be proficient in use of MIDAS, EMR (NextGen), IDX, and population mgt.. Will be knowledgeable of workplace health and safety guidelines (CDC), physician office practice, patient care medical home requirements, preventive health maintenance, national evidence based guidelines, patient safety, and care coordination activities.. Prefer OB/maternal health, women's health, or Medical/surgical background with at least one-year of clinical experience (adult/OB/women's health).. Quality Improvement, Case Management, Care Coordination, Infection Control, Patient education/outreach, Safety experience a plus
Tucson offers one-of-a-kind experiences for those interested in outdoor adventure and nature, heritage and culture, arts and attractions, golf and original Southwest-inspired dining.. The RN will assist with chart reviews, risk adjustment prep, patient out reach for Medicare Annual Wellness visits, Transitional Care Visits post hospital discharge, medication adherence outreach, patient and staff education, scheduling visits, satisfying core health measures.. This position is also responsible for understanding and serving as an informative source on Medicare Advantage funding models (Risk adjustment, HCCs, HEDIS quality Rate, etc.). Responsible for the development and implementation of Risk Adjustment education and training for network physicians and practices, including documentation and coding requirements, HCCs, HEDIS quality ratings.. This may include analysis of BMG Practice Management systems, clearinghouse routing, vendor routing and/or CMS submissions.
Upon hire: Texas Licensed Vocational Nurse -OR- National Licensed Vocational Nurse Compact. Since 1918, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person through our integrated health network in West Texas/eastern New Mexico.. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, hospice and home care, and even schools for nursing and radiography.. Department: 8001 RURAL HEALTH TX CHP PLAINVIEW WTFM. Work Location: Covenant Health Plainview & Ctr for Outpt Diabetes Ed
Graduate of accredited Nurse Practitioner school.. Provides patient services in the Rural Health Clinic, ensuring quality medical care per physicians orders and protocols.. Responsible for evaluating, formulating, and implementing treatment plans for patients from infants to geriatrics.. Assists with treatment and follow-up of Occupational Medicine clients.. Employee assistance program and flexible spending account
Graduate of accredited Nurse Practitioner school.. Provides patient services in the Rural Health Clinic, ensuring quality medical care per physicians orders and protocols.. Responsible for evaluating, formulating, and implementing treatment plans for patients from infants to geriatrics.. Assists with treatment and follow-up of Occupational Medicine clients.. Flexible spending account and employee assistance program