Population Health Nurse
2 weeks ago
The Population Health Nurse is a key member of the interdisciplinary team at Duke University Health System, responsible for providing clinical expertise to specific complex patient populations. This role involves disease management, assessment of disease states and utilization, care plan development and facilitation, and referral to appropriate levels of care.
The ideal candidate will have a strong background in nursing, with at least 3 years of experience in a similar role. They will be organized, motivated, and able to manage multiple tasks and projects simultaneously. Proficiency in computer software tools and data files is also essential.
The Population Health Nurse will work closely with patients, families, and healthcare providers to ensure seamless transitions in care and optimal clinical outcomes. They will also participate in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies, and clinical research.
This is a challenging and rewarding role that requires strong clinical skills, excellent communication and interpersonal skills, and the ability to work in a fast-paced environment.
Responsibilities- Provide specialized nursing treatment, development of care plans, and education to patients
- Assess the educational needs of the patient/caregiver as it relates to the disease process, alterations in function, and assimilation back into the home and community
- Monitor system access to care, services, and treatment, including linkage to the medical home
- Address the total individual, inclusive of medical, psychosocial, behavioral, and spiritual needs
- Involve the patient and their support systems in the decision-making process
- Use a patient-centric, collaborative partnership approach to assist the patient with improved self-management
- Utilizing proven processes to measure a patient's understanding and acceptance of the proposed plan(s), his/her willingness to change, and his/her support to maintain health behavior change
- Apply teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness
- Communicating and coordinating with all provider(s) and member(s) of the care team as needed to minimize fragmented care
- Monitor quality and effectiveness of interventions to the population by setting long term and/or short-term specific, measurable goal(s)
- Accessing and systematically using data from multiple sources such as patient medical records, claims, and program metric reports to target recipient(s) and provider(s) for outreach, education, and intervention
- Advocate for patient(s) and supporting provider(s) to ensure delivery of appropriate, evidence-based care
- Facilitate Quality Improvement activities that educate, support, and monitor provider(s), regarding evidence-based care for best practice/National Standards of Care (Adapted from CMSA, 2010)
- Utilize innovative nursing and population management tactics to support health throughout the continuum of care in order to promote quality, cost-effective outcome
- Participate in quality/performance improvement programs and projects, product evaluation, outcomes evaluation studies, and clinical research
- Provide clinical experience in a preceptor role for students attending institutions that have contractual agreements with DUHS
- Participates in the orientation of new nursing staff and provides expert coaching and guidance through both formal and informal one-on-one teaching with nursing staff
- BSN is required for this position
- At least 3 years of nursing experience required
- Organized and motivated by a fast-paced environment
- Able to manage multiple tasks/projects simultaneously
- Proficient in review and assess needs quickly
- Strong with the use of computer software tools and data files
- Comfortable with continuous change and self-initiating
- Able to complete documentation in a quick and efficient manner
- Maintain strict confidentiality
- Promote programs and services to community
- Build effective and trusting relationships with patient/peers
- Use motivational interviewing and active-listening skills when assessing patient conditions, problems and interests
- Use conflict-resolution skills when reaching consensus about plans of care and treatment decisions
- Demonstrate confidence, compassion, political savvy, as well as attention to detail to apply these skills as decisions dictate
- Use data to analyze trends and to verify data
- Self-directed and able to organize and manage multiple tasks/projects simultaneously
- Ability to promote programs and services to community
- Proficient in review of medical records and other patient care information
This position may require home visits. The work activity and patient acuity levels can create a stressful atmosphere.
Duke University Health System is an equal opportunity employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.
-
Population Health Care Manager
4 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryWe are seeking a highly skilled Population Health Care Manager to join our team at Duke University. As a key member of our interdisciplinary team, you will be responsible for delivering clinical expertise to manage the healthcare needs of specific patient populations across the continuum of care.Key ResponsibilitiesDevelop and implement care plans...
-
Durham, North Carolina, United States Duke Health Full timeJob Title: Population Health Care ManagerAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.Job Summary:The Population Health Care Manager is responsible for delivering clinical expertise to manage health care needs of specific patient populations across the...
-
Population Health Care Manager- Team Lead
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeDuke Health is seeking a highly skilled Care Management Team Lead to join our Population Health team. As a key member of our team, you will be responsible for supervising a team of care management staff, ensuring effective productivity, performance, and quality of care.Key Responsibilities:Coordinate and facilitate timely implementation of appropriate...
-
Population Health Care Manager Team Lead
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeDuke Health is seeking a highly skilled Population Health Care Manager Team Lead to join our team. As a key member of our care management team, you will play a critical role in ensuring the effective delivery of high-quality care to our patients.Key Responsibilities:Coordinate and facilitate timely implementation of appropriate interventions for identified...
-
Population Health Nurse
3 weeks ago
Durham, North Carolina, United States Alo Solutions Full timeJob SummaryAlo Solutions is seeking a highly skilled Population Health Nurse to join our Value-Based Care team. As a key member of our team, you will play a critical role in delivering high-quality care to patients and closing gaps in care to improve health outcomes.Key Responsibilities:Provide exceptional customer service to patients through telephonic...
-
Population Health Care Manager
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeDuke Health is seeking a highly skilled Population Health Care Manager to join our team. As a key member of our Resource Center, you will play a critical role in ensuring seamless transitions of care for our patients.Key Responsibilities:Collaborate with our Population Health Management Office (PHMO) and Duke inpatient case management leadership to ensure...
-
Durham, North Carolina, United States Duke Health Full timeJob Title: Population Health Resource Associate Pediatric Family AdvocateJob Summary:Duke Health is seeking a Population Health Resource Associate Pediatric Family Advocate to join our team. This role will work with our care managers and specialists to provide support and advocacy to patients and their families navigating intellectual and developmental...
-
Population Health Care Manager
3 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryDuke University is seeking a skilled Population Health Care Manager to join our team. As a key member of our healthcare team, you will be responsible for providing clinical expertise to specific patient populations, ensuring high-quality care and optimal clinical outcomes.Key Responsibilities:Coordinate and facilitate timely implementation of...
-
Population Health Care Manager
3 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryDuke University is seeking a highly skilled Population Health Care Manager to join our team. As a key member of our care management team, you will be responsible for providing clinical expertise to complex patient populations, ensuring high-quality care and optimal clinical outcomes.Key ResponsibilitiesCoordinate and facilitate timely...
-
Population Health Care Manager
3 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryThe Population Health Care Manager is a critical role in our organization, responsible for delivering clinical expertise to manage the health care needs of specific patient populations across the continuum of care. This position focuses on improving the health status and connection to resources, preventive care, hospital follow-up, and ongoing...
-
Population Health Care Manager
2 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryThe Population Health Care Manager is a key role within Duke Connected Care, a community-based, physician-led network. This position is responsible for providing clinical expertise for specific complex and/or rising risk patient populations. The goal is to meet specific contractual and program-related requirements. The ideal candidate will have a...
-
Population Health Care Manager
2 weeks ago
Durham, North Carolina, United States Duke University Full timeJob SummaryWe are seeking a highly skilled Population Health Care Manager to join our team at Lincoln Community Health Center. As a key member of our interdisciplinary team, you will be responsible for delivering clinical expertise to manage health care needs of specific patient populations across the continuum of care.Key ResponsibilitiesDevelop and...
-
Population Health Care Manager
4 weeks ago
Durham, North Carolina, United States Dukehealth Full timeJob SummaryWe are seeking a highly skilled Population Health Care Manager to lead our Resource Center Team. The successful candidate will be responsible for overseeing the day-to-day operations of the team, ensuring effective transitional care management, and promoting compliance with policies and procedures.Key ResponsibilitiesCollaborate with the...
-
Nurse Practitioner
2 weeks ago
Durham, North Carolina, United States WellStar Health System Full timeJob Title: Registered NurseWe are seeking a skilled Registered Nurse to join our team at WellStar Health System. As a Registered Nurse, you will be responsible for providing high-quality patient care and working collaboratively with our interdisciplinary team to achieve optimal patient outcomes.Responsibilities:Perform the Nursing Process (assessment,...
-
Pediatric Family Health Advocate
3 weeks ago
Durham, North Carolina, United States Duke Health Full timePopulation Health Resource Specialist Duke Health is seeking a skilled Population Health Resource Specialist to join our team. As a key member of our care management team, you will work closely with patients, families, and healthcare providers to ensure seamless care coordination and support. Key Responsibilities: Provide outreach and care management...
-
Nurse Leader
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeAbout Duke HealthDuke Health is a world-renowned healthcare system that is committed to providing compassionate care to patients and their families. As a leader in the field of nursing, we are seeking a highly skilled and dedicated Registered Nurse to join our team.Job SummaryThe Registered Nurse will be responsible for providing advanced and specialized...
-
Nurse Specialist
2 weeks ago
Durham, North Carolina, United States Duke Health Full timeAbout Duke HealthDuke Health is a leading healthcare provider in the United States, committed to delivering compassionate care that changes the lives of patients and their loved ones. As a Registered Nurse at Duke Health, you will have the opportunity to work with a talented team of healthcare professionals to advance health together.About the RoleWe are...
-
Psychiatric Nurse Practitioner
4 weeks ago
Durham, North Carolina, United States Mindpath Health Full timeAbout Mindpath HealthMindpath Health is a leading provider of outpatient mental health services, dedicated to delivering high-quality care to patients in a supportive and collaborative environment.Job SummaryWe are seeking a skilled Psychiatric Nurse Practitioner to join our team, providing comprehensive care to patients with a wide range of mental health...
-
Women's Health Care Nurse
2 weeks ago
Durham, North Carolina, United States Dukehealth Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.We're seeking an experienced Operating Room (OR) RN to join our team at the Duke Ambulatory Surgery Center in Morrisville, North Carolina.The center has four operating rooms, four procedure rooms, and an overnight...
-
Psychiatric Nurse Practitioner
4 weeks ago
Durham, North Carolina, United States Mindpath Health Full timeAbout Mindpath HealthMindpath Health is a leading provider of outpatient mental health services, dedicated to delivering high-quality care to patients in a supportive and well-structured environment.Job SummaryWe are seeking a skilled Psychiatric Nurse Practitioner to join our team, providing expert care to adult and child populations in a variety of...
