RN - Population Health - FT - Days - MHS
Company: Memorial Healthcare System
Location: Miramar
Posted on: July 10, 2025
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Job Description:
Location: Miramar, Florida We have an outstanding reputation for
providing patient- and family-centered care that exceeds all
expectations. Together, we have created an award-winning,
nationally-recognized system where every effort is focused on
delivering Deeper Caring and Smarter Healthcare throughout our
communities. Career opportunities exist on diverse teams across our
many facilities where you can search open positions and apply
online to join teamMHSflorida. Learn more below. Summary: Under the
direction of the Population Health Management leadership, the
Population Health Registered Nurse (PHRN) serves as a liaison
between the Memorial Healthcare System (MHS), Memorial Health
Network (MHN), Broward Guardian, ACHN, Memorial Physician Group
(MPG), community providers, post-acute care facilities, external
healthcare organizations, and the patient. The PHRN follows nursing
processes and protocols and implements systems of care that
facilitate care coordination and close monitoring of specially
defined, high and rising risk patient populations attributed to
value-based programs or MHA. The PHRN fosters an inter-professional
team-based approach ensuring continuity of care extends beyond the
acute care boundaries. The PHRN roles can include a focus on care
management, quality, post-acute transitions, remote patient
monitoring, care coordination or all of the above.
Responsibilities: Conducts initial intake, assessment, identifies
and manages health and safety risks including assessment of social
determinants of health, functional status, health risk assessment,
and medication clarification and education. Discusses assessment
with Population Health Nurse II for co-signature on assessment. As
appropriate, discusses patients’ eligibility for population health
management services or disease management programs. Assesses
patient/caregiver capacity and willingness to participate in such
programs.Responsible for longitudinal patient engagement in remote
patient monitoring program. Participates in ongoing process
improvement activities through the application of clinical paths,
QA processes and other related activities. Ensures that processes
and services are continuously monitored for quality, cost
effectiveness, and efficiency.Supports, participates, and
coordinates in preparation and completion of quality audits,
quality reporting and regulatory reviews. Collaborates closely with
the Population Health Management leadership and Population Health
Service Organization Business Intelligence teams to review and
provide input on utilization trends. Participates in ongoing
process improvement activities through the application of clinical
paths, QA processes and other related activities. Ensures that
remote patient monitoring processes and customer services are
continuously monitored for quality, cost effectiveness, and
efficiency.Chronic condition management including remote patient
monitoring referral process, which includes, but is not limited to,
eligibility assessment, medical record extraction,
provider/physician order entry, patient consent, handoff
communications and escalation of abnormal values. Provides
telephonic triage and monitoring using established disease-specific
protocols. Through utilization of remote patient monitoring
technology and other tools, responds to customers’ written, or
telephonic communications or inquires with respect to disease
management.Performs concurrent medical record review using specific
indicators and criteria established by the Population Health Nurse
II. Monitors the quality, frequency and appropriateness of
healthcare delivery by post-acute providers and reports variations
of plan of care, health status, or psychosocial issues to PCP and
appropriate members of the care team. Promotes effective and
efficient utilization of clinical resources and mobilizes resources
to assist in coordination of care across the healthcare
continuum.Follows the patient-family centered care plan developed
by the Population Health Nurse II. Initiates patient conference
with Population Health Nurse II for modifications to care plan.
Under the guidance of the Population Health Nurse II provides
telephonic care/case management services including but not limited
to health risk assessment, medication clarification,
clinical-decision making, remote patient monitoring, and disease
management for rising to high risk patient population. Applies
evidence-based clinical guidelines and protocols to promote high
quality healthcare delivery. Competencies: ACCOUNTABILITY, ANALYSIS
AND DECISION MAKING, CLINICAL POLICIES AND STANDARDS, CUSTOMER
SERVICE, DISEASE MANAGEMENT, PATIENT AND FAMILY CENTERED CARE,
RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education
and Certification Requirements: Associates: Nursing
(Required)Registered Nurse Compact License (RN LICENSE COMPACT) -
Compact RN Multistate, Registered Nurse License (RN LICENSE) -
State of Florida (FL) Additional Job Information: Complexity of
Work: This role requires critical thinking skills, effective
communication, decisive judgment, and the ability to build and
foster positive relationships. The incumbent must be able to take
appropriate action when required. Ability to travel to Memorial
Healthcare System locations or post-acute care facilities when
needed.Required Work Experience: Three (3) years of healthcare
experience. Excellent written and oral skills, with the ability to
engage, inspire, build credibility and trust with peers and
patients. Collaborative working style with the ability to work
across different teams, areas of expertise, and adapt to various
environments and clientele. Highly organized and self-motivated
individual with ability to adapt to various assignments and ability
to work autonomously.Other Information: Minimum: Associate of
Science in Nursing; Bachelor of Science in Nursing
(preferred).Additional Education Info: Bachelor of Science in
Nursing (preferred) Working Conditions and Physical Requirements:
Bending and Stooping = 60% Climbing = 0% Keyboard Entry = 80%
Kneeling = 0% Lifting/Carrying Patients 35 Pounds or Greater = 0%
Lifting or Carrying 0 - 25 lbs Non-Patient = 60% Lifting or
Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying
> 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs
Non-Patient = 60% Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
Pushing or Pulling > 75 lbs Non-Patient = 60% Reaching = 60%
Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm =
80% Running = 0% Sitting = 80% Squatting = 0% Standing = 80%
Walking = 80% Audible Speech = 80% Hearing Acuity = 80% Smelling
Acuity = 0% Taste Discrimination = 0% Depth Perception = 80%
Distinguish Color = 80% Seeing - Far = 80% Seeing - Near = 80% Bio
hazardous Waste = 0% Biological Hazards - Respiratory = 0%
Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily
Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos =
0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0%
Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0%
Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0%
Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia =
0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving
Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric
Shock = 0% Potential for Physical Assault = 0% Radiation = 0%
Sudden Decompression During Flights = 0% Unprotected Heights = 0%
Wet or Slippery Surfaces = 40% Shift: Disclaimer: This job
description is not intended, nor should it be construed to be an
exhaustive list of all responsibilities, skills, efforts or working
conditions associated with the job. It is intended to indicate the
general nature and level of work performed by employees within this
classification. Wages shown on independent job boards reflect
market averages, not specific to any employer. We encourage
candidates to talk to their Memorial Healthcare System recruiter to
discuss actual pay rates, during the hiring process. Memorial
Healthcare System is proud to be an equal opportunity employer
committed to workplace diversity. Memorial Healthcare System
recruits, hires and promotes qualified candidates for employment
opportunities without regard to race, color, age, religion, gender,
gender identity or expression, sexual orientation, national origin,
veteran status, disability, genetic information, or any factor
prohibited by law. We are proud to offer Veteran’s Preference to
former military, reservists and military spouses (including widows
and widowers). You must indicate your status on your application to
take advantage of this program. Employment is subject to post
offer, pre-placement assessment, including drug testing. If you
need reasonable accommodation during the application process,
please call 954-276-8340 (M-F, 8am-5pm) or email
TalentAcquisitionCenter@mhs.net
Keywords: Memorial Healthcare System, Weston , RN - Population Health - FT - Days - MHS, Healthcare , Miramar, Florida