Population Health Nurse Educator

NATURE OF WORK Fairfield Memorial Hospital is seeking a compassionate, proactive, and patient-focused Population Health Nurse Educator to join our Horizon Healthcare Clinic team. If you are passionate about improving health outcomes through education, prevention, care coordination, and community engagement, FMH offers an opportunity to make a meaningful impact on the lives of patients across our region. The Population Health Nurse Educator serves as a vital link between patients, providers, caregivers, and community resources, helping individuals navigate the healthcare system and take an active role in managing their health.

This position focuses on chronic disease management, patient education, care transitions, population health initiatives, and quality improvement efforts designed to enhance patient outcomes and reduce barriers to care. The ideal candidate combines strong clinical expertise with exceptional communication skills, a passion for patient advocacy, and a commitment to delivering high-quality, patient-centered care in a collaborative outpatient setting.

KEY RESPONSIBILITIES Coordinate care and facilitate communication among patients, providers, caregivers, and community resources.

Provide education to patients, families, and community members regarding chronic disease management, including diabetes, hypertension, and other chronic conditions.

Conduct Social Determinants of Health (SDOH) assessments and support Chronic Care Management (CCM) initiatives.

Coordinate discharge planning and transition-of-care activities to improve continuity of care.

Support patients with insurance assistance programs, medication assistance programs, and advance care planning.

Manage and coordinate the Target BP Initiative.

Oversee Low-Dose CT program management and registry reporting requirements.

Assist with Continuous Glucose Monitoring (CGM) setup, patient education, troubleshooting, and downloads.

Perform quality audits and support Merit-Based Incentive Payment System (MIPS) initiatives and regulatory reporting.

Promote patient engagement through education and utilization of the patient portal.

Collaborate with interdisciplinary teams to identify barriers to care and implement solutions.

Participate in departmental quality improvement and compliance efforts.

Float to satellite clinic locations and provide clinical support as needed.

Educate patients regarding available community resources and support services.

Serve as a resource for support groups and community educational programs.

Perform other duties as assigned.

COMPENSATION: $24.00-$36.00 per hour

SCHEDULE:

Monday
- Friday 8:00 am to 5:00 pm BENEFITS
403(b) Retirement PlanPPO Health Insurance PlanHDHP Health Insurance Plan w/ Health Savings Account Dental Insurance Plan Vision Insurance Plan Short and Long Term Disability Insurance Basic and Voluntary Life Insurance Plans Paid Time Off (Vacation/Sick/Illinois Paid Leave/Holiday)
Flexible Work Schedules Professional Development Opportunities WHAT FMH HAS TO OFFER Fairfield Memorial Hospital is a mission focused healthcare organization dedicated to providing exceptional care to the patients and families we serve, with a strong commitment to improving the health and well‑being of our community through compassionate service, clinical excellence, and a supportive culture that empowers employees to do their best work. We value teamwork, professional growth, and a positive work environment where every team member plays a meaningful role in advancing our mission.

FMH offers a competitive salary and a comprehensive benefits package designed to support your health, well‑being, and long‑term professional development, and we strive to ensure employees feel valued, supported, and equipped to make a meaningful…