Population Health RN - Evernorth - NW Georgia

Population Health Registered Nurse - Northwest Georgia

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.

This role plays a key role in proactively identifying and engaging patients using data-driven tools and reports to improve health outcomes across defined populations.

The RN will work closely with the clinical teams and care coordination resources to ensure that patients who may be falling through the cracks are supported, re-engaged, and connected to appropriate care.

You will play a pivotal role in delivering comprehensive care and empowering patients to achieve their healthcare goals.

Job Summary

Under the direction of a Licensed Physician and Clinical Director, the population health RN will provide general nursing care to patients for an employer's total population.

The population health nurse will utilize their expertise and strong interpersonal skills to provide direct nursing care, and care coordination to a targeted patient population identified through data-driven 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.

Major Duties: Include but are not limited to the following.



* NURSING CARE:
+ Performs comprehensive health risk assessments and education
+ Follow established nursing protocols and procedures
+ Monitor medication compliance and provide patient education
+ Provide patient education on chronic conditions, focusing on abnormal biometric values 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
+ Use frequent check-ins to reinforce understanding and adherence



* CARE COORDINATION:
+ Facilitate communication and coordination with internal and external providers, including primary care, specialists
+ Coordinate with community providers and resources to address patients needs and care gaps
+ Offer concierge-style coordination of appointments, referrals, and follow-up care
+ Reinforce provider's care plans and ensure adherence
+ Advocate for patient needs within the care team a...