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RN - Population Health Clinic
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- The Population Health Nurse will promote effective partnerships between patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines to coordinate care for patients with chronic disease and effectively manages care transitions and facilitate a "shared goal model".
- He or she will provide effective clinical health coaching to assist patients with self-management of their chronic disease and life-style changes to mitigate health risk.
- Previous Care Coordination, Case Management, Home Health or Behavior Health experience preferred.
- Demonstrates evidence of effective organizational, leadership, communication, education, collaboration, and counseling skills.
- Collaborate with practice leaders to implement effective internal tracking systems for patients such as patient panels, annual wellness visit scheduling, transition of care follow-up calls/timely provider visits, and CCM non-face-to-face monthly encounters.
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