Mary's Center is committed to promoting diversity, equity and inclusion (DEI) within our organization and the communities we serve. We embrace diversity of experiences, ideas, and individuals, and seek to bring diverse candidates to the table.
The Nurse Manager of Population Health will provide leadership, administrative, and clinical support to Mary's Center's population health and care coordination initiatives including the Socios De Salud and My Health GPS programs. Overall responsibilities include supervision of the Population Health team, collaboration with clinical staff to plan, implement, manage, and evaluate population health programs, processes, and care coordination of participants. Individual will also provide nursing coverage in clinics, when needed.
This position will report directly to the Director of Care Coordination.
Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily to meet the needs of their team and participants.
The Nurse Manager of Population Health:
Serves as an integral member of an interprofessional care management team working alongside medical providers, nurses, health educators and social service staff.
Supervises Population Health/Resource Medical Assistants, the Population Health Care Coordinator and My Health GPS Program Coordinator.
Utilizes nursing theory and approaches to improve and impact health outcomes.
Assists management to write, research and edit key documents (e.g., reports, strategic work plans, proposals, and presentations) for quality and sustainability of population health programs and initiatives.
Assists with facilitation of workgroup and development of materials to redesign organizational care coordination practices.
Trains and provides educational and promotional materials for the care team to promote population health programs and initiatives.
Coordinates activities necessary to achieve and maintain the quality and sustainability of population health programs within the clinical practice setting.
Develops strategies and processes to identify, outreach, enroll and deliver care to participants in the population health programs.
Provides direct care coordination to a panel of particularly vulnerable participants.
Develops processes and protocols to collect data and measure program outcomes, success, and challenges.
Attends regular meetings with internal and external stakeholders - such as CRISP, DHCF, DC Health.
Ensures and fosters communication and collaboration among all members of the care team to guarantee the best quality of care for participants.
Provide clinical nursing coverage as needed, virtually or for special projects/clinics as needed to include:
Develop and implement participant's plan of care.
Provide participants with necessary health education and discharge instructions.
Assist the Medical Providers with prescription refills and to obtain prior authorizations.
Collaborate with the clinical team to provide participants clinical results. In addition, address medical requests by patients and external partners.
Collaborate with the clinical team to complete any forms or paperwork deemed necessary by participants, schools, or healthcare entities.
Provide support to Medical Providers, while practicing within the scope of a licensed registered nurse to ensure optimal participant care.
Collaborate with the referral specialists, including at times generating referrals per the request of a Medical Provider.
The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
At least 2 years of relevant experience. Three or more years' work experience preferred.
Registered Nursing licensure required in DC and Maryland. Bachelor's Degree preferred.
Strong communication skills, ideally Bilingual [English/Spanish], both oral and written.
Thorough understanding of patient/client confidentiality issues and HIPAA compliance/regulations.
Experience working with culturally diverse and underserved populations.
Awareness and sensitivity of sociocultural issues related to immigration.
Demonstrate interest in public health, health education, or related field.
Strong project management capabilities required.
Proven leadership experience.
Ability to multi-task, prioritize and adjust activities appropriately.
Excellent organizational skills and attention to detail.
Proactive and able to work independently and solve problems as needed.
Team player with the ability to work collaboratively with staff that works remotely.
Advanced computer skills including experience with Microsoft Office (Word, Excel, PowerPoint, etc) and familiarity with creating and/or using charts, spreadsheets and databases a plus.
In order to be considered for this position, you must submit a resume and cover letter, in addition to answering all questions included within the application.