Special Projects Registered Nurse
About The Position
Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 and committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal consecutive times. APH offers customized programs for insurance groups, providers, hospitals, and families, which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. As one of the country's few fully integrated healthcare providers, APH provides top-notch medical services with various service lines. The company is expanding and looking for individuals who want to make a difference and help those in need. POSITION PURPOSE The Special Projects Registered Nurse (RN) supports organizational clinical initiatives that improve quality outcomes, member engagement, medication adherence, preventive care, and operational efficiency. The role partners closely with the Director of Clinical Services on strategic projects, quality initiatives, clinical outreach, point-of-care testing follow-up, and operational improvement efforts.
Requirements
- Active Registered Nurse (RN) license in the state(s) of Arizona, Louisiana, Nevada.
- Minimum of two (2) years of clinical nursing experience.
- Microsoft Office proficiency.
- Strong clinical assessment skills.
- Excellent verbal and written communication.
- Ability to manage multiple projects simultaneously.
- Strong organizational and time management skills.
- Knowledge of population health management principles.
- Knowledge of medication adherence initiatives and quality improvement programs.
- Ability to work independently while collaborating across multiple departments.
- Strong problem-solving, critical-thinking, and attention to detail.
- Current Registered Nurse (RN) license in AZ, LA, NV
- Current CPR certification.
- Current TB screening (if applicable).
Nice To Haves
- One (1) year of case management, care coordination, quality management, utilization management, population health, or disease management experience preferred.
- Experience with HEDIS, STAR, NCQA, URAC, or CMS quality programs preferred.
- Certified Case Manager (CCM) preferred.
- Population Health experience preferred.
- Quality Improvement experience preferred.
- Project management experience preferred.
- Bilingual English/Spanish preferred.
Responsibilities
- Conduct outbound calls to members for medication adherence initiatives.
- Educate members regarding medication compliance, refill needs, and barriers to adherence.
- Collaborate with pharmacies, providers, and health plans to improve medication adherence rates.
- Perform member outreach related to preventive care opportunities, quality measures, and health education.
- Assist members in scheduling appointments and obtaining recommended preventive services.
- Document all member interactions accurately within the electronic medical record.
- Assist with clinical quality improvement projects designed to improve HEDIS, STAR, NCQA, URAC, and contractual performance measures.
- Review medical records and identify opportunities for care gap closure.
- Support annual quality initiatives and population health campaigns.
- Assist with chart abstraction, medical record review, and quality reporting.
- Participate in audits and quality improvement activities.
- Monitor assigned project metrics and provide progress updates to leadership.
- Assist the Director of Clinical Services in reviewing Point-of-Care (POC) testing results.
- Notify members of normal and abnormal POC test results following established clinical protocols.
- Coordinate follow-up appointments, laboratory testing, or provider referrals when indicated.
- Ensure timely documentation and communication of testing outcomes.
- Escalate abnormal findings to the appropriate provider or clinical leadership.
- Support implementation of new clinical programs and operational initiatives.
- Coordinate assigned clinical projects from initiation through completion.
- Track project milestones, deliverables, and timelines.
- Develop project documentation and workflow recommendations.
- Identify barriers and recommend process improvements.
- Collaborate with interdisciplinary departments to ensure successful implementation of projects.
- Assist in developing policies, procedures, and standardized workflows.
- Serve as a clinical resource for operational departments as assigned.
- Assist leadership with implementation of new clinical workflows.
- Participate in interdisciplinary meetings, committee work, and project planning sessions.
- Assist with staff education related to new clinical initiatives.
- Monitor assigned work queues and reports.
- Assist leadership with data collection and analysis for clinical initiatives.
- Maintain accurate, timely, and complete documentation within the electronic medical record.
- Ensure compliance with HIPAA, NCQA, URAC, CMS, state regulations, and company policies.
- Maintain confidentiality of protected health information.
- Report quality concerns, patient safety issues, or compliance concerns to leadership.
- Perform other duties as assigned.
Benefits
- Paid Orientation and Training
- Insurance – Medical, Dental, Vision, and Life
- 401k Plan – 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- Paid Holidays (9 days)
- Paid Time Off (15 days)
- Paid Volunteer Hours
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
