Registered Nurse - Population Health - Evernorth

Overview Evernorth Workplace Care is dedicated to improving the health and well-being of our patients. We are seeking a passionate and independent Registered Nurse to join our team as a Population Health RN.

Under the direction of a Licensed Physician and Clinical Director, the population health nurse will utilize their expertise and strong interpersonal skills to provide nursing care, and care coordination to a targeted patient population identified through risk stratification reports. This role involves comprehensive patient health risk assessments, health education, and benefits navigation, requiring a self-directed and highly motivated individual who can thrive in an independent setting.

• Client Consultation & Strategic Reporting:
  Present population health findings, trends, and recommendations to client leadership and matrix partners, as appropriate
• Participate in client meetings to review outcomes, intervention performance, and emerging health priorities, as appropriate
• Partner with client stakeholders to prioritize population health initiatives and engagement strategies, as appropriate
• Care Management:
  Performs comprehensive biometric health risk assessments and education, as appropriate
• Follow established nursing protocols and procedures
• Monitor medication compliance and provide patient education
• Provide patient education on chronic conditions, focusing on abnormal biometric values, health needs, and related behavioral lifestyle modifications
• Utilize motivational interviewing techniques to promote sustainable behavior changes, including diet, exercise and stress management
• Identify customer health education needs through targeted health assessment activities
• Identify and facilitate overcoming psychosocial barriers to care
• Collaborate with patients to establish health improvement plans, set personalized evidence-based health goals, and support patients in achieving those goals
• Track and monitor screening compliance
• Facilitate and promote preventive health screenings, including cancer screenings
• Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars
• Wellness campaigns at client’s location
• CARE COORDINATION:
  Facilitate communication and coordination with external providers, including primary care, specialists
• Coordinate with community providers and resources to address patients’ needs and care gaps
• Reinforce provider’s care plans and ensure adherence
• Follow-up with patients regarding after-hours care recommendations
• BENEFITS NAVIGATION:
  Referral to clinical programs and services
• Assist patients in navigating their benefits and accessing necessary resources
• Advocate for patients to ensure they receive timely and appropriate care
• Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc.
• ANALYTICS:
  Work from reports and dashboards that identify the highest-risk patients, proactively engaging them in care management activities
• Prioritized patient outreach and interventions based on risk stratification
• ADMINISTRATIVE:
  Assures compliance with regulatory requirements regarding services
• Appropriate electronic documentation, in accordance with current policies and procedures

• RN with current unrestricted compact state licensure required with three or more years of clinical practice experience
• Bachelor's degree in a health-related field. Master’s degree preferred.
• Current BLS/CPR/AED Certification
• Excellent Computer skills [specific software e.g. Word and Excel]
• Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility…