Population Health RN; Part time

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Philadelphia, PA, US

11 days ago Requisition

Salary Range: $40,000.00 To $46,000.00 Annually

DEPARTMENT:
Population Health

SUPERVISOR:
Population Health Administrator;
Clinical Supervision from Associate Medical Director of Quality Assurance, Population Health, and Community Health & Wellness (AMD of QA/PH/CHW)

STATUS:
Exempt

Population Health Registered Nurse (Part time - 24 hours per week - 3 days)

The Prevention Nurse contributes to the implementation of preventive health activities at Esperanza Health Center (EHC). This individual will collaborate closely with the AMD for QA/PH/CHW and the Population Health Administrator to develop data-informed strategies to achieve preventive health goals across the health center. The Prevention Nurse provides clinical support and programmatic input into workflows for tertiary prevention for patients with chronic conditions, such as diabetes and hypertension, as well as those surrounding education, support, and clinical follow-up for patients who are prescribed PrEP (pre-exposure prophylaxis for HIV).

In providing this clinical oversight, the Prevention Nurse will also have the opportunity to work closely with other population health and clinical support team members such as coordinators, navigators, care gap coordinators, screening assistants, and medical assistants, providing day to day clinical support.

The specific areas and disease conditions of focus for the Prevention Nurse’s role may evolve over time to reflect current patient population needs and EHC priorities.

• Diabetes
• Provides clinical oversight to work and patient concerns regarding diabetes for Diabetes Care Coordinator and Diabetes Care Navigators.
• Collaborates closely with other Population Health Staff such as AMD for QA/PH/CHW, Diabetes Care Coordinator, Diabetes Care Navigators, and Care Gap specialists to provide comprehensive support to patients with diabetes.
• Educates staff as needed on relevant clinical topics, such as medications, self monitoring of blood glucose, etc.
• May assist as needed with clinical efforts among patients with diabetes, including but not limited to the following:
  • Collaborates with PCP to assist with diabetes education, insulin titration, diabetic foot care, and other care needs.
  • In collaboration with Diabetes Care Coordinator,, assists with ordering supplies, including submitting prior authorizations as needed.
• Assist with the development of hypertension patient education curriculum.
• Assist with training clinical staff (including Medical Assistants) on hypertension workflows, on topics including but not limited to:
  • Lifestyle modifications
  • Blood pressure measurement technique
  • Medication adherence
• May assist as needed in patient care visits or by follow-up phone calls to provide additional patient education, clinical assessment of blood pressure readings, etc.
• PrEP
• Collaborates with the Population Health Administrator and Care Gap Specialists for HIV prevention within the health center.
• Reviews spreadsheet of patients receiving PrEP on a monthly basis at minimum to ensure timely follow-up on care related to PrEP such as labs, PCP appointments etc. Provides clinical input to follow-up needed to Population Health Administrator and Care Gap Specialists and/or PCP as necessary.
• Maintains and documents workflows surrounding PrEP lab protocols, prescriptions, etc.
• Assist in providing PrEP updates and continual training for clinicians and other clinical staff with an assigned Associate Medical Director championing PrEP workflows.
• Participates on EHC’s behalf at meetings with…