Population Health Nurse(LPN/RN)
Good Samaritan
Summary
The Population Health LPN will promote health and prevent disease in communities. Must be proactive in helping patients identify symptoms before they worsen, focusing on risk before they occur.
Job description
Responsibilities
- Assess health needs, identify health problems and community trends.
- Develop intervention plans, create plans to help patients improve health and safety.
- Monitor patient vital signs via internet connected device and information platform. Will personalize each patient individually according to provider orders.
- Educate/Coach patients, provide information regarding disease specific issues and help identify ways for the population to live a healthier life.
- Evaluate plans, use data to improve patient life.
- Help providers and office staff to improve upon communication, education to patients. Will assist the office staff to schedule patients for appointments as needed.
- Coordinate other services for the patient within Population Health, including but not limited to, CHF education, diabetic education, Medicare annual wellness services, transitional care, and community services as needed.
- Work with providers patients offering education to patients on disease specific information, educate patients on how to use remote patient monitoring equipment, and symptom management.
- Take accurate information regarding symptoms, provide details regarding patient condition, be knowledgeable of medications. Communicate effectively with providers and follow up with pertinent information to provider and patient.
- Have frequent outreach to patients to manage chronic conditions, develop personalized care plans for each patient. Expected to become a trusted resource for the patient to call and report changes in condition.
- Document using technology platforms and EHR.
- Connect patients with resources and prepare them for medical appointments. Support and encourage patients to maintain compliance with monitoring device.
- Run monthly reports, assist with month end billing. Responsible for following CMS guidelines to ensure billing is done correctly and efficiently. Must ensure all clinical documentation meets CMS requirements.
- Communicate with home care providers to help with transitions of care for the patient.
- Help to maintain the patient record, ensuring all information is up to date.
Qualifications
- Active LPN license in Indiana
- Preferred to have Home Health Experience
- Proficient in Microsoft Office/Excel
- Organized individual that can communicate effectively.
- Job hours can be flexible.
- Applicant must be able to work independently and as a part of a team.
- Must have strong ethics and values
- Be a critical thinker, and strong ability to solve problems.
Requirements
- Active LPN license in Indiana
- Preferred to have Home Health Experience
- Proficient in Microsoft Office/Excel
- Organized individual that can communicate effectively
- Applicant must be able to work independently and as a part of a team
- Must have strong ethics and values
- Be a critical thinker, and strong ability to solve problems
Company overview
Good Samaritan is a network of community hospitals and healthcare facilities that have been serving patients across multiple regions in the United States for over a century. These healthcare institutions are known for providing comprehensive medical services with a strong focus on compassionate, patient-centered care. The Good Samaritan hospitals typically operate as acute care facilities offering specialized services including cardiology, orthopedics, trauma care, oncology, women's health, and emergency medicine. Many locations feature advanced medical technology and specialized centers of excellence, such as comprehensive stroke centers, Level II and III trauma centers, and specialized surgical facilities. These hospitals are deeply integrated into their local communities, often serving as regional healthcare hubs that provide accessible medical care to diverse populations. With employee counts typically ranging from 1,000 to 5,000 staff members across various locations, Good Samaritan facilities maintain a commitment to clinical excellence, professional development, and community health improvement. The organization emphasizes values of patient respect, integrity, dignity, and excellence in all aspects of healthcare delivery.