Population Health Coordinator-Rn-Prn

POPULATION HEALTH COORDINATOR‑RN‑PRN (PRN)

Cooper University Health Care, a leader in South Jersey health care, offers a unique opportunity to contribute to patient-centered medical home (PCMH) initiatives. Our team is dedicated to clinical innovation and providing the most up-to-date facilities, equipment, technologies, and research protocols.

Our commitment to extraordinary health care begins with our team. We provide competitive compensation, comprehensive benefits for full- and part-time employees—including health, dental, vision, life, disability, and retirement—and opportunities for professional development and career growth.

Training for this position is 90 days in Camden; thereafter the role is remote. Only local candidates are considered.

Support and participate in 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.
• Participate in PCMH activities such as hospital discharge follow-up, care planning, coordination of services, and communication between care providers.
• Collaborate with patients’ medical/health and community-based providers to establish mutual goal-setting, including patients and their families/caregivers, using 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 defined by organizational/department goals and objectives.

5 years or more clinical experience; experience in primary care, population, or case management preferred.

Registered Nurse (RN); BSN preferred.

Current NJ RN License.