HHC Nurse, Community Health Innovator
at Heartland Alliance

Date Posted: 9/13/2019

Job Description

Summary: The HHC Nurse, Community Health Innovator (CHNI) is a blended role of community health nursing, innovation, and leadership. Like other Heartland Health Centers (HHC) community health nurses, the CHNI assists with the direction of daily patient visits, providing triage, assessment, care coordination, health education, and information to patients and families in a culturally appropriate and relevant manner. The CHNI works to assure a safe patient care environment and seamless transition of care for patients. HHC agrees with the National Academies of Medicine report, The Future of Nursing: Leading Change, Advancing Health, which endorses the need for nurses to "practice to the full extent of their education and training, to have opportunities to assume leadership positions, and to serve as full partners in health care redesign and improvement efforts." As such, the CHNI will actively co-lead the health care redesign at the Innovation Center at Albany Park (ICAP) and provide assertive leadership in process improvement, innovation strategy and implementation of the same.

Essential Duties and Responsibilities:

Clinical Care & Patient Education

• Provide direct clinical care to patients of all ages

• Coordinate care for complex, hospitalized and/or other high-risk patient populations

• Facilitate medication refills

• Provide perinatal care and education; participate in monthly OB care team meetings

• Promote health and well-being by assessing and addressing health literacy. Applies motivational interviewing techniques in order to best support healthy behaviors and chronic illness self-management

Leadership & Innovation

• Support the HHC Director, Quality & Compliance in implementing the HHC Quality Improvement & Safety Plan

• Participate and lead in process improvement and innovation initiatives including visit efficiency improvement, patient access improvement and population health initiatives

• Practice human-centered design and iterative problem-solving/controlled experimentation to solve problems in a way that highly values the user’s perspective

• Participate in the clinical skill and knowledge development of HHC Coordinators, Care Team (CTC) and HHC Patient Navigators (PN); integrate with CTCs and PNs during real-time clinical encounters to assure patient needs are being met and additional training needs are immediately evaluated and/or completed

• Actively identify community referrals, foster relationships with community agencies and engage in other community health activities

Patient Safety

• Provide oversight and work with care teams to assure a safe patient care environment. Oversee infection control practice and safe medication management.

• Collaborate with care teams to identify and mitigate risks during transitions in care

• Play a key role in developing, modeling and leading a safety culture where team members feel safe in asking for help and/or reporting errors, exemplifying a no-blame/growth mindset


• EMR super-user

• Group education

• Nurse visits ( e.g. , immunizations, chronic disease education and management, sexually transmitted infection treatment, emergency contraception, injections and testing) Works with care team to uphold requirements for vaccine and other programs

• All other HHC-accepted duties that registered nurses are competent to perform

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

• Active Illinois registered nurse license required.

• At least two years of clinical nursing experience preferred.

• Bachelor of Science in Nursing degree preferred.

• Experience in health education, care coordination and disease management preferred.

• Experience/training/interest in quality improvement preferred.

Language Requirements:

• Bilingual English/Spanish preferred.

Other Skills and Qualifications:

• Teamwork/Communication

o Exceptional communication skills

o Capacity to work effectively in a team structure

o Ability to interact respectfully with a diverse group of stakeholders of varying disciplines and educational levels

• Health care systems

o Knowledge of integrated health systems

o Knowledge of medicine, public health, and health services issues

o Familiarity with health care delivery in community health settings

• Health IT/Design/Innovation

o Proficiency in the use of Health Information Technology (HIT) tools preferred

o Ability to conceptualize and develop innovative approaches to workflow, and HIT content development and implementation

o Knowledge of or interest in human-centered design

• Working knowledge of Microsoft Office (Word, Excel, PowerPoint, Outlook) and Internet usage

Personal Attributes:

• Self-starter; takes initiative; resourceful; critical thinker

• Compassion, empathy, respect, culturally sensitive, open-minded

• Exceptional organizational, problem-solving, time management, and prioritization skills

• Flexibility, ability to be comfortable with ambiguity

• Eagerness to work in a dynamic environment; willing to learn new skills

• Passionate about HHC’s mission, vision and values

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

● Frequently required to sit, stand, and walk.

● Occasionally required to stoop, kneel, climb, and/or crawl

● Ability to lift up to 25 lbs.

● Frequently required to use hands to key, handle, and/or feel.

● Unrestricted ability to provide physical restraint

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

● May be exposed to airborne and/or blood borne pathogens.

● While performing the duties of this position, the employee may be required to perform duties at off-site locations as dictated by the organization.

● Must have transportation to off-site locations.

HHC Mission, Vision & Culture

Mission: Our mission is to improve the well-being of the communities we serve by providing accessible, high-quality healthcare. At HHC, we believe that healthcare is a human right and we aim to deliver healthcare from the heart every day.

Vision and Strategy for Practice Transformation : Our vision is to be national leader in community-based healthcare by advancing innovative service models and patient-centered best practices. To accomplish our goals, we know we can’t work harder but we must work smarter, and we are strongly committed to creating a more patient-centered care model using a two-pronged strategy: the team-based care movement and the innovation center.

Healthcare from the HEART Culture and Values:

H umility: We believe all voices matter.

E mpathy: We have compassion for the experience of others

A daptability: We adopt an openness to learning and belief in our unlimited potential

R elationships: We foster respectful relationships as they are the foundation of collaboration

T rust: We assume good intentions in our interactions with each other

Heartland Health Centers makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military, and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987.

Job Snapshot

  • Employee Type: Full-Time
  • Location: Chicago, IL
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 9/13/2019

About Us

It’s more than a job, it’s a purpose.

Heartland Alliance—the leading anti-poverty organization in the Midwest— believes that all of us deserve the opportunity to improve our lives. Each year, we help ensure this opportunity for nearly one million people around the world who are homeless, living in poverty, or seeking safety. Our multicultural staff are passionate about our mission and make Heartland Alliance a dynamic and exciting place to develop your career.

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