Clinical Measures Nurse

About Us: Betty Jean Kerr People's Health Centers (PHC), founded in 1972, has been at the forefront of providing quality health care to the St. Louis metropolitan area for over 40 years. The mission of PHC is to provide comprehensive primary health care, such as pediatrics, internal medicine, OB/GYN, dental, mammography, behavioral health, pharmacy, radiology, podiatry and laboratory services, to meet the health needs of the entire community. PHC is committed to serving the impoverished, uninsured populations in St. Louis and St Louis County communities. With three (3) conveniently located health centers, and a friendly welcoming staff, PHC aspires to serve all the health care and wellness needs of the entire family. Responsibilities: Assists in the development and implementation of the case management program. Directs, coordinates, and provides case management to patients in caseload Plays an essential role in assisting physicians, nurses, and staff with an accurate determination of a patient's status. Reviews the medical records of all to determine the patient necessity for admission and continued stay, using pre-established criteria. Completes case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition plan. Performs quality assessment reviews and studies both concurrently and retrospectively as required by NCQA and JCAHO standards, including third party payer regulations. Interacts, communicates, and intervenes with multidisciplinary healthcare team in a purposeful, goal-directed fashion. Works proactively to maximize the effectiveness of resource utilization. Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization and discharge planning. Is Responsible for the department's operational excellence; ensures the department delivers quality service in accordance with applicable policies, procedures, and professional standard. Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, and specific job-related hazards. Follows the centers exposure control plans/blood borne and airborne pathogens. Requirements: * Healthcare professional with degree in Health Science * RN, BSN required * 3 Years of RN experience * Current CPR Certification Additional Requirements: * Chronic Disease Management * Computer Skills * Electronic Health Records (EHR) * Travel Between Locations * Participation in Outreach Activities Bonus Points: