Population Health Intervention Specialist RN
About The Position
University Health is seeking a Population Health Intervention Specialist – RN to lead innovative programs that improve health outcomes, reduce barriers to care, and empower individuals to successfully manage chronic conditions. In this highly collaborative role, you'll combine clinical expertise, education, coaching, and community engagement to improve the health of vulnerable populations while advancing value-based care and health equity initiatives. If you're driven by prevention, relationship-building, and making a measurable impact, we'd love to meet you. As a Population Health Intervention Specialist, you will serve as a clinical leader supporting patients and communities through education, care coordination, and evidence-based interventions. You'll partner with healthcare providers, community organizations, and interdisciplinary teams to improve access to care and help patients achieve healthier outcomes.
Requirements
- Bachelor of Science in Nursing (BSN)
- Current Missouri Registered Nurse (RN) license in good standing
- Five (5) or more years of experience in population health, community health, chronic disease management, care coordination, program management, or a related healthcare setting
- Strong understanding of population health, public health principles, health equity, and social drivers of health
- Experience providing patient education, health coaching, motivational interviewing, and interdisciplinary care coordination
- Excellent communication, presentation, and relationship-building skills
- Strong organizational skills with the ability to manage multiple priorities and community partnerships independently
- Proficiency with Microsoft Office and healthcare documentation systems
- Ability to work occasional evenings and weekends for community outreach and engagement activities
Nice To Haves
- Bilingual (Spanish/English)
- Certified Diabetes Care and Education Specialist (CDCES)
- Community Health Worker (CHW), Certified Health Education Specialist (CHES), Health Coach, Lifestyle Medicine, or related certification
- Experience supporting value-based care initiatives, population health analytics, or community-based care models
Responsibilities
- Lead evidence-based chronic disease prevention and self-management programs focused on conditions such as diabetes, hypertension, cardiovascular disease, obesity, and other high-risk populations.
- Conduct health risk assessments and identify opportunities to improve prevention, medication adherence, self-management, and patient engagement.
- Provide individualized health coaching using motivational interviewing, trauma-informed communication, and behavior change strategies.
- Guide patients through the healthcare system by connecting them with clinical services, community resources, and social support programs.
- Build strong partnerships with community organizations, public health agencies, healthcare providers, and social service organizations.
- Support initiatives addressing health disparities, food insecurity, preventive care, and other social drivers of health.
- Coordinate community education programs, health screenings, and wellness events that improve community health.
- Collaborate with operational and clinical leaders to achieve quality, utilization, and population health goals.
- Assist with grants, pilot programs, and special population health initiatives.
- Monitor program outcomes, quality measures, and utilization trends to drive continuous improvement.
- Maintain accurate documentation and ensure compliance with organizational and regulatory standards.
- Champion a culture of quality, patient safety, health equity, and compassionate, community-centered care.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
