ABOUT ADOBE
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.
DUTIES & RESPONSIBILITIES
Clinical Outreach & Member Engagement
- 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.
Clinical Quality & Population Health
- 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.
Point-of-Care (POC) Testing Support
- 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.
Clinical Project Management
- 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.
Clinical Operations Support
- 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.
Compliance & Documentation
- 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.
REQUIRED KNOWLEDGE, SKILLS & ABILITIES
- 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.
MINIMUM QUALIFICATIONS
- Active Registered Nurse (RN) license in the state(s) of Arizona, Louisiana, Nevada.
- Minimum of two (2) years of clinical nursing experience.
- 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.
- Microsoft Office proficiency.
PREFERRED QUALIFICATIONS
- Certified Case Manager (CCM) preferred.
- Population Health experience preferred.
- Quality Improvement experience preferred.
- Project management experience preferred.
- Bilingual English/Spanish preferred.
LICENSES & CERTIFICATIONS
- Current Registered Nurse (RN) license in AZ, LA, NV
- Current CPR certification.
- Current TB screening (if applicable).
BENEFITS & TOTAL REWARDS
- 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
CHARACTER & COMPETENCIES
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Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
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Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
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Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
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Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
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Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
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Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
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Problem-Solving - Identifies and resolves problems promptly; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
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Professionalism - Tactfully approaches others; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
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Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
PHYSICAL DEMANDS & WORK ENVIRONMENT
- This position involves a combination of office-based work and fieldwork within the community.
- Travel will be required to attend meetings, conduct home visits, or participate in community events.
- Must be able to frequently drive long distances, which may require a two-hour radius of your designated county (travel time is paid and mileage reimbursement is available).
- Occasionally required to stand.
- Occasionally required to walk.
- Continually required to sit.
- Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
- Continually required to talk or hear.
- While performing the duties of this job, the noise level in the work environment is usually moderate.
- Must be comfortable with working in a variety of conditions, including members’ homes, physicians’ offices, cold conditions, and hot conditions.
- The employee may occasionally lift and /or move more than 30 pounds.
- Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.
EQUAL EMPLOYMENT OPPORTUNITY
APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.