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Population Health Navigator - Accountable Care Organization - FT

Quick overview

The Population Health Navigator promotes effective partnerships between patients and the healthcare team to manage care transitions and facilitate shared goals. This role involves partnering with the care team to complete wellness visits, reduce chronic disease severity, and prevent acute illnesses.

Requirements summary

Candidates must have an Associate's Degree from an accredited nursing school and two years of experience in a clinical nursing role caring for acute or chronic disease patients. Required skills include strong clinical assessment, critical thinking, organizational, communication, and counseling abilities.

associate degreeCommunicationProblem-SolvingCounselingEducationCare Plan DevelopmentLeadershipCollaborationCare CoordinationCritical ThinkingAnalyticsClinical AssessmentOrganizationalClinical Health Coaching

Job description

Registered Nurse with a minimum of two years of clinical experience who is interested in population health.
This is a full-time position, Monday through Friday (8:00 AM – 4:30 PM), focused on care coordination, patient engagement, and improving outcomes across our community.
What You’ll Bring Strong organizational skills with the ability to manage multiple priorities effectively A results-oriented mindset with a commitment to improving patient quality, outcomes, and engagement The ability to work independently while contributing positively to a collaborative team environment Experience or interest in guiding patients through the healthcare system and connecting them to appropriate resources Excellent relationship-building skills, with the ability to collaborate across providers, care teams, and community partners Comfort working in a non-bedside setting focused on care coordination and patient navigation What You’ll Do Engage with patients both in person and by phone to complete assessments and support care planning Serve as a key resource for patients, helping them navigate the healthcare system effectively Support care coordination initiatives that improve patient outcomes and enhance continuity of care.
The Population Health Navigator is responsible for promoting effective partnerships between patients/families and the health care team to facilitate care for patients and effectively manage the care transitions to facilitate a shared goal model.
The Navigator will partner with the provider care team to complete annual wellness visits, assist to reduce the severity of chronic disease and prevent avoidable acute illnesses.
The Navigator will provide effective clinical health coaching to assist patients with self-management of their chronic disease and lifestyle changes to mitigate health risk using care coordination activities and analytics in the ambulatory setting.

Population Health Navigator - Accountable Care Organization - FT

Quick overview

Requirements summary

Job description

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