Registered Nurse - Population Health - Evernorth

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 focuses on proactive, patient-centered care, leveraging data-driven insights to address the needs of high-risk individuals.

Under the direction of a Licensed Physician and Clinical Director, the population health nurse will utilize their expertise and strong interpersonal skills to provide nursing care, and care coordination to a targeted patient population identified through risk stratification 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.  Client Consultation & Strategic Reporting: Present population health findings, trends, and recommendations to client leadership and matrix partners, as appropriate Participate in client meetings to review outcomes, intervention performance, and emerging health priorities, as appropriate Partner with client stakeholders to prioritize population health initiatives and engagement strategies, as appropriate Care Management: Performs comprehensive biometric health risk assessments and education, as appropriate Follow established nursing protocols and procedures Monitor medication compliance and provide patient education Provide patient education on chronic conditions, focusing on abnormal biometric values, health needs, 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 Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars Wellness campaigns at client’s location CARE COORDINATION: Facilitate communication and coordination with external providers, including primary care, specialists Coordinate with community providers and resources to address patients’ needs and care gaps Reinforce provider’s care plans and ensure adherence Follow-up with patients regarding after-hours care recommendations BENEFITS NAVIGATION: Referral to clinical programs and services Assist patients in navigating their benefits and accessing necessary resources Advocate for patients to ensure they receive timely and appropriate care Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. ANALYTICS: Work from reports and dashboards that identify the highest-risk patients, proactively engaging them in care management activities Prioritized patient outreach and interventions based on risk stratification ADMINISTRATIVE:  Assures compliance with regulatory requirements regarding services Appropriate electronic documentation, in accordance with current policies and procedures Qualifications: RN with current unrestricted compact state licensure required with three or more years of clinical practice experience Bachelor's degree in a health-related field. Master’s degree preferred.  Current BLS/CPR/AED Certification Excellent Computer skills [specific software e.g. Word and Excel] Excellent interpersonal skills. Must be able to work in a team environment and exhibit flexibility and enthusiasm in learning new information and developing new