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College Clinic Job Title:

Population Health Nurse Employment Type:

Full Time Location:

College Clinic Shift:

Day Job Summary:

The Population Health Nurse will work in collaboration with primary care providers and healthcare teams. Primary responsibilities will include identification of Medicare patients appropriate for Annual Wellness Visits and execute guided processes to complete the visit. They will effectively coordinate and manage high-risk chronically ill patients through Chronic Care management utilizing health coaching techniques to assist patients with self-management of their chronic diseases and lifestyle changes to mitigate health risk. This position may also be responsible for other programs to include Transitional Care Management, Advance Care Planning, Post-Acute Care Coordination, and Behavioral Health Integration.

Job Requirements:

Education:

Associate's Degree in Nursing or Diploma Program required. Bachelor's in Nursing preferred

Experience:

Minimum of one (1) year experience in caring for patients with chronic disease required. Previous Care Coordination, Case Management, Home Health or Behavioral Health experience preferred. Possesses strong clinical assessment and critical thinking skills necessary to develop a comprehensive plan of care appropriate to patients with complex medical, emotional, and social needs. Has ability to work in a high-volume caseload environment and deal effectively with rapidly changing priorities. Required Licensure/Certification(s): Current licensure as a Registered Nurse in the State of New Mexico or acceptable compact state licensure Current certification in Basic Life Support. (If BLS verification is not current upon hire must be obtained within three (3) months of hire.) Apply Now