Population Health Coordinator PRN
1 day ago
At Cooper University Health Care, our dedication to delivering exceptional healthcare begins with our team. Our extraordinary professionals are continually discovering innovative clinical practices and enhancing access to the latest facilities, equipment, technologies, and research protocols.
We prioritize our employees by offering competitive compensation, a comprehensive benefits package, attractive working conditions, and opportunities for professional growth and development.
Discover why Cooper University Health Care is the preferred employer in South Jersey.
Job SummaryThis is a non-remote position requiring daytime work on weekdays, with a minimum of two days per week.
Key Responsibilities- Support and participate in the Patient-centered Medical Home (PCMH) concepts of care coordination and team-based care.
- Assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services to improve the health status of identified populations across the continuum.
- Follow established PCC workflow for utilization and self-management support.
- Collaborate with patients' medical/health and community-based providers to establish mutual goal-setting, including patients and their families/caregivers, utilizing self-management tools.
- Provide outreach, care management, and education for disease self-management per patient-centered goals.
- Identify, document, and mitigate patient barriers to improved outcomes.
- Monitor and evaluate the services and community-based resources necessary to respond to individual members' health needs.
- Provide telephonic and/or in-practice outreach, disease management, and/or case management, education, and other clinically based activities for target populations.
- Conduct assessments, develop nursing treatment plans, and interventions, and set goals for treatment plans/behavioral modifications within the scope of licensure in collaboration with other care providers.
- Assist physicians and other team members in developing and implementing evidence-based practices and care plans for target health populations.
- Collect data on quality metrics and track as required for improvement efforts.
- Participate in process/quality improvement initiatives to achieve targets as defined by organizational/department goals and objectives.
Strong analytical, interpersonal, communication, and time management skills. Knowledge of disease management, expected treatments, and discharge planning. Commitment to patient advocacy, with the ability to work independently and make sound clinical decisions.
Experience:
- 5 years or more clinical experience.
- Experience in primary care, population, or case management preferred.
Education:
- RN (BSN) preferred.
License/Certification:
- Current NJ RN License.
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