GLT - Population Health Nurse

GLT
- Population Health Nurse# GLT
- Population Health Nurse Legal Address
- Shelbyville, MI 49344## Overview Position Type Full Time Job Shift Day Education  Level4 Year Degree Category Health  Care## Description
*
* Job Title:

*
* ** Population Health Nurse
**** Department:
** Health & Human Services (HHS)   
*
* Reports To:

** Nurse Manager
*
* Location:

** Health & Human Services Building
** Level/Status:
** Non-Exempt/Full-time       
** Open Date:
September 14, 2026
**** Close Date:
Open Until Filled
** This position is 100% grant funded  
** SUMMARY
* * The Population Health Nurse supports the health and wellness of the patient population through preventive care initiatives, immunization program management, quality improvement activities, and data-informed outreach. This position serves as the clinical lead for vaccine management and the Vaccines for Children (VFC) program while supporting organizational quality and population health goals.
** DUTIES AND RESPONSIBILITIES
** include, but are not limited to the following:
* Use electronic health record (EHS) tools and reports to identify care gaps and support preventive service outreach (e.g., immunizations, cancer screenings, well-child visits, annual exams, and advanced directives).
* Implement standing orders and evidence-based protocols to improve preventive care rates.
* Support chronic disease registries and targeted health promotion initiatives.
* Conduct limited outreach to patients for high-priority preventive services.
* Track and support performance on quality measures.
* Participate in quality improvement projects related to preventive care, immunizations, and screening rates.
* Plan and implement population-based health initiatives
* Collaborate with internal programs and community partners to promote wellness and disease prevention, health equity.
* Address barriers to care including transportation, financial concerns, health, literacy, and social determinants of health through referral and collaboration with community and internal partners
* Collaborate with specialists and community partners to ensure well coordinated care
* Provide patient education on disease self management, medication, adherence, and lifestyle improvements
* Monitor and track high needs patients and ensure care needs are met through individualized care plans
* Serve as the clinical lead for vaccine storage, handling, and administration practices.
* Manage and maintain compliance with the Vaccines for Children (VFC) program
* Monitor vaccine inventory, ordering, reconciliation, and reporting.
* Ensure proper vaccine cold chain management, temperature monitoring, and documentation
* Coordinate vaccine-related audits and site visits
* Provide staff training and competency validation on vaccine protocols
* Monitor immunization rates and implement strategies to improve coverage across the lifespan.
* Maintain accurate and timely documentation in the EHR and state immunization registry.
* Develop and monitor dashboards related to immunizations and preventive health metrics
* Support reporting requirements for grants
* Provide culturally responsive health education to patients, families, and the community
* Support response efforts for communicable disease prevention and control as needed
* Work collaboratively within the integrated care team
* Provide clinical and operational support including assisting with nurse triage, care coordination, and clinic operations/patient flow as needed to support efficient care delivery.
* Conduct home or community visits as needed to support community health team and perform community outreach.
* Provides day-to-day supervision of clinical staff, including work assignments, time-off requests, scheduling, and payroll administration.
* Partners with the Nurse Manager…