Population Health Program Nurse

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life. Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve. At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

Trillium Health Resources has a career opening for a Population Health Program Nurse! This position works to identify members that are appropriate for population health programs utilizing data informatics along with providing interventions and education to promote health prevention and promotion. This role demands a combination of clinical expertise, strong communication skills, and a deep commitment to advocating for vulnerable populations. Apply today!

Enroll identified Trillium members into appropriate population health programs. Support the build-out and management of future population health programs as indicated. Engage members by identifying mission/goals and objectives of the program along with assisting in completing a thorough clinical background. Work collaboratively with members of the multidisciplinary team to develop tools and interventions designed to achieve optimal patient outcomes. Coordinate and facilitate with Care Management staff timely implementation of assessments, care plans, and appropriate interventions for identified member populations following established policies and procedures. Use a collaborative approach to assist the member with self-management goals and identifying barriers by addressing the total individual. Provide telephonic and/or in-person coaching and support to the members to encourage their efforts, identify barriers to progress and adjust the care plan as needed. Communicate and coordinate with other members of the interdisciplinary team as needed to ensure appropriate linkage to services. Monitor referrals, both internal and external, into population health programs ensuring members are enrolled following policies and procedures. Assist with performance tracking of KPIs and other quality performance measures of population health.