Job Description

Job Title: Value Based RN
Job ID: 190002B3
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: Pinnacle Health Medical Services
Department: Administration - PHMG
Location: 3 Walnut Street, Lemoyne PA 17043


The Value Based RN works directly with Primary Care Quality Teams on all set organizational quality and patient care goals. Accountable for implementing interventions that support primary care goals and objectives, the RN is responsible for working with all members of the care team, providing centralizing support and overseeing task management for all primary care offices. The Value Based RN supervises clinical and support staff and holds members of the health care team accountable for the completion of their responsibilities in the provision of patient care. The Value Based RN implements evidence-based interventions for designated populations through data analysis, including tracking trends and implementing orders to close care gaps. The Value Based RN effects change by supporting patient decision-making, education, and coordination of services to assure quality outcomes. The Value Based RN is a highly visible position that routinely advocates for high quality care, providing essential support to the excellence in care in the primary care practice.

  • Other duties as assigned.
  • Must exude excellent communication skills with patients, staff, providers, office manager and other departments involved in establishing a plan of care for patients.
  • Collaborates with patient to manage PT/INR and anticoagulation management.
  • Collaborate with Chief Quality Officer and Quality managers to create and implement a plan to improve in system-wide and government mandated quality matrixes.
  • Serves as the point of contact to the Champion of Quality in the medical practice.
  • Gathers and analyzes data to substantiate desirable and undesirable patient outcomes.
  • Supports systematic investigation of patient problems needing clinical inquiry. Communicates with primary care teams as needed.
  • Maintains an effective working relationship with team members, primary care offices, quality representatives, and leadership. Communicates effectively with coworkers and the healthcare team to support continuity of care and service to the patient.
  • Initiate telephonic and/or electronic outreach with patient/family members to communicate care gap closure opportunities. Utilize innovative EMR tools to complete tasks.
  • Works collaboratively to track and manage primary care performance, including provision of support in: in-basket management, clinical data assessment and communication (lab work, patient generated-data), triage patient requests and communicate as appropriate, medication management, and other primary care tasks.
  • Provides leadership and coordination support to health system entities to further the knowledge of evidence-based care provision in primary care.
  • Examine current organizational workflows and data to advise appropriate stakeholders on opportunities for improvement as it relates to value based contract expectations and initiatives, and designated quality goals.
  • Implement interventions as appropriate based on findings in data analysis. Communicate trends and goals within primary care teams.
  • Analyze payor contract data to identify trends and changes. Prepare and present verbal and formal updates to Quality teams and Primary Care offices.
  • Serves as clinical resource to primary care teams, providers, and non-clinical associates. Provides guidance on evidence-based care interventions. Collaborates with PCP in the closure of care gaps for defined patient populations.
  • Develops, implements and maintains both clinical practice guidelines/protocols and operational policies and procedures in consultation with physicians?/office managers/administrative director.
  • Provides working oversight and delegates tasks to licensed practical nurses, and non-licensed medical staff based on skill level and knowledge base of assistive personnel.
  • Provide care coordination referrals as needed to interdisciplinary team; care coordination, ambulatory pharmacy, and/or social work.
  • Evaluate patient care trends and analyze quality data to ensure care gap closure and satisfaction of value based contract requirements.


Job Requirements: Candidates should have an associate's degree or a bachelor's degree from an accredited nursing program and have passed the National Council Licensure Examination (NCLEX-RN). Licensure must be current and valid in the state of Pennsylvania. 2-5 years of clinical care experience as an RN is required. BLS/CPR certifications must be current or be completed on the designated day following system orientation. Bachelor?s Degree within 4 years of hire. The candidate must pass a urine drug screen as well as a Child Abuse Clearance along with a Criminal Background check. Preferred Qualifications: Healthcare experience in a supervisory or quality assurance position is desired. Previous experience in Population Health, Quality or Clinical Management preferred.

Licensure, Certifications, and Clearances:
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

    Salary Range: $28.44 to $44.07 / hour

    Union Position: No

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