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Duke Clinical Research Institute

Population Health Nurse - Duke Primary Care Croasdaile

Duke Clinical Research Institute, Durham, North Carolina, United States, 27703

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At Duke Health, we’re driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke Primary Care Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina.

Duke Nursing Highlights

Duke University Health System is designated as a Magnet organization

Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.

Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.

Duke University Health System has 6000+ registered nurses

Quality of Life: Living in the Triangle!

Relocation Assistance (based on eligibility)

Population Health Nurse - Duke Primary Care Croasdaile Duke Primary Care Croasdaile in Durham is a premier destination for accessible, top-quality medical care for patients of all ages. Boasting 24 state-of-the-art exam rooms and an on-site phlebotomy lab, the clinic is designed for convenience and efficiency. With a dedicated team of 14 providers, 2 licensed social workers, 2 registered dietitians, and exceptional clinical staff, the clinic offers a full spectrum of services, including preventive care, chronic disease management, women’s health, pediatrics, immunizations, and diagnostics. Duke Primary Care Croasdaile is committed to delivering comprehensive, compassionate care to meet the diverse needs of families in the community.

Location 1821 Hillandale Road Suite 24B, Durham, NC 27705

Schedule Monday - Friday, 8am - 5pm

What you will do The Population Health Nurse partners with pediatric patients with complex health needs, delivering care and education through a dynamic blend of educational telehealth visits and care coordination. This role guides children and their families in managing chronic illnesses, develops and coordinates individualized care plans, and ensures connection to the right resources and support. As an integral member of an interdisciplinary team, the nurse helps families navigate care transitions, empowers them with knowledge and tools, and drives improved, patient-centered health outcomes.

Deliver specialized nursing care, create individualized care plans, and educate patients and families while using clinical judgment and following established policies.

Identify the educational needs of patients and caregivers related to their condition, recovery, and transition back to home and community life.

Ensure patients have access to the right care, services, and resources, including coordination with their medical home.

Address the whole person - medical, emotional, behavioral, psychosocial, and spiritual needs - for truly comprehensive care.

Actively involve patients and their support systems in decision-making, using a collaborative approach to build self-management skills and encourage long-term healthy behaviors.

Communicate and coordinate with providers and care team members to reduce gaps in care, especially during transitions like hospital-to-home.

Set measurable goals for patients and monitor the quality and success of interventions over time.

Use data from medical records, claims, and program reports to identify patients who need outreach, education, and additional support.

Advocate for patients and work closely with providers to ensure care is evidence-based and aligned with national standards.

Support quality improvement initiatives by educating providers, tracking outcomes, and helping implement best practices.

Apply innovative population health strategies to improve health outcomes and keep care cost-effective.

Participate in performance improvement projects, product evaluations, and clinical research to advance patient care.

Serve as a preceptor and mentor for nursing students and new staff, providing guidance and coaching in both formal and informal settings.

May perform home visits as needed (specific details provided by the department).

Manage the demands of a fast-paced, high-acuity environment with professionalism and resilience.

What you will need Education

BSN

Experience

3 years of nursing experience required

Pediatric experience preferred

Degrees, Licensure, and/or Certification

Current RN licensure in the state of North Carolina required.

Knowledge, Skills, and Abilities

Organized and motivated by a fast-paced environment

Able to manage multiple tasks/projects simultaneously

Proficient in review and assess needs quickly

Strong with the use of computer software tools and data files

Comfortable with continuous change and self-initiating

Able to complete documentation in a quick and efficient manner (legal medical record and other software systems developed for care management and population-based program metrics)

Distinguishing Characteristics of this Level

Maintain strict confidentiality

Promote programs and services to community

Build effective and trusting relationships with patient/peers

Use motivational interviewing and active-listening skills when assessing patient conditions, problems and interests

Use conflict-resolution skills when reaching consensus about plans of care and treatment decisions

Demonstrate confidence, compassion, political savvy, as well as attention to detail to apply these skills as decisions dictate

Use data to analyze trends and to verify data

Self-directed and able to organize and manage multiple tasks/projects simultaneously

Ability to promote programs and services to community

Proficient in review of medical records and other patient care information

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Job Title: POPULATION HEALTH NURSE

Job Code: 5555

FLSA: E

Job Level: G1

Revised Date: 05/01/2024

Supervisory Responsibility: No

Duke University is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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