Job Title: Population Health Clinical Specialist – ,RN
Department: Corporate Clinical Services
FLSA Status: Non-exempt
About us
Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina.
Location & commitments
Full Time and Part Time roles based at our Greenville location, Monday-Friday, 7:30a.m. – 5:30 p.m. Early and late hours required. Overtime may be required to ensure patients are taken care, tasks are completed, and calls are returned in a timely manner. Weekend work is rare but can occasionally be necessary.
Supervision Received: Reports to Clinical Supervisor; Operations or Clinical Manager; Chief Operations Officer.
Supervision Exercised: None.
Typical Physical Demands: Requires full range of body motion including handling and lifting patients, manual and dexterity and eye-hand coordination. Involves standing and walking. Occasionally lifts and carries items weighing up to 100 pounds. Requires normal visual acuity and hearing. Requires exposure to bodily fluids.
Typical Working Conditions:
Frequent exposure to communicable diseases, toxic substances, medicinal preparations, and other conditions common to a clinic environment.
About the role
Physicians East participates in a clinically integrated network and population health services organization. The mission of this team is to transform healthcare delivery by offering patient-centered solutions to populations covered under alternative payment models. Joining this team means you will work closely with providers, practices, payers, business leaders, and community partners to improve the quality and accessibility of care while lowering the cost of care for patients, payers, and businesses. We are a growing team looking for top talent to help us with creative solutions that improve patient care and help make healthcare more affordable.
Summary:
Responsible for patient outreach and care coordination in the ambulatory practice setting. Identifies barriers to care plan compliance and provides appropriate education and resources. Works collaboratively with the care team to achieve high-quality, low-cost outcomes for patient populations. Consistently achieves established productivity targets.
Responsibilities: (This list may not include all the duties assigned.)
Provides care management services in the ambulatory practice setting.
Works collaboratively with other care team members to develop and support the patient's care plan.
Utilizes motivational interviewing to identify barriers and facilitate care plan compliance. Serves as a patient advocate, supporting shared decision-making and the use of decision aids.
Educates patients and families on a variety of topics including how to access medical home services, establish self-management goals, and navigate the health care system.
Identifies, coordinates, and helps to align patient care and community resources to facilitate patient care transitions and prevent hospital readmissions and Emergency Department visits.
Reviews and monitors patient outcomes, recommends changes in care plan and implements population management interventions.
Consistently achieves established productivity targets.
Appropriately documents consults and interventions in the patient's electronic medical record and updates the population health software.
Actively participates in meetings, problem solving, goal setting, quality improvement and patient satisfaction initiatives.
Maintains compliance with organizational policies and procedures and evidenced based guidelines.
Other duties:
Maintains patient confidentially.
Keep management informed of high-risk situations.
Practice infection control, following OSHA guidelines and office policy.
Maintain certification(s) and or recertification. If not certified at the time of employment, will have 90 days to complete certification or employment will be terminated.
Maintain CPR certification.
Attend fire safety classes, clinical meetings, compliance, and other continuing education classes as offered by Physicians East.
Adheres to department and office policies.
Candidate requirements
Graduate of an accredited associate degree Medical Assistant program and current certification through AAMA, NHA, RMA or similar organization or graduate of an accredited nursing program. Licensure: Must be registered with NCBON and in good standing.
Prior healthcare giver experience required
Experience in electronic medical records (EMR/HER) software required.
Professional demeanor and recognition of privacy considerations for patients and families.
Strong written and verbal communication skills and ability to communicate and interact professionally with others.
Ability to actively listen.
Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically correct English.
Ability to spell, proofread and edit written text.
Affirmative Action/EEO statement
Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252-413-6368 or email careers@physicianseast.com
Disclaimer
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.