Population Health Nurse Manager

Job Description

Location: Louisville, KY (Hybrid)

We are seeking a Population Health Nurse Manager to lead care management and population health operations within a value-based care infrastructure anchored in an integrated delivery network. This position is a full-time, direct hire opportunity based in the Louisville, KY area on a hybrid schedule.

This role is best aligned for a seasoned RN who works at the intersection of clinical excellence, team development, and data-driven strategy. You will build and lead the care coordination team, design the protocols that govern chronic disease and behavioral health management, and own the metrics that drive value-based contract performance. The ideal candidate brings both bedside credibility and a system-level lens, and turns HEDIS gap data into clear, executable care coordination workflows.

Responsibilities:

• Recruit, onboard, and supervise the nursing and care coordination team
• Oversee risk stratification using predictive analytics and EMR tools to segment patients and assign interventions
• Design and implement evidence-based care management protocols for chronic disease and behavioral health populations
• Drive outreach programs targeting HEDIS care gaps, preventive screenings, wellness visits, and specialist referral closure
• Lead care transitions work with discharge planners and SNF liaisons to reduce readmissions and ED utilization
• Collaborate with physicians, behavioral health, pharmacy, and social services on multidisciplinary care plans
• Monitor and report performance metrics including HEDIS rates, care gap closure, readmissions, ED utilization, and patient activation
• Serve as the primary clinical escalation point for complex cases, guiding care coordinators and physicians
• Connect patients with community resources addressing social determinants of health
• Support value-based contract performance reviews with clinical and operational leadership

Qualifications:

• BSN required; MSN, MPH, or an equivalent graduate degree strongly preferred
• Active, unencumbered Kentucky RN license required; multi-state compact eligibility preferred
• Minimum of 3 years of population health or managed care experience required, including at least 1 year in a supervisory capacity
• CCM certification required within 12 months of hire; disease management or care transitions certification preferred
• Proficiency with Epic, care management platforms, and population health analytics tools required
• Working knowledge of ACO, PCMH, Medicare Advantage, and Medicaid managed care models with HEDIS expertise required
• Strong team development, clinical judgment, and cross-functional communication skills

Schedule:

• Full-time position
• Hybrid schedule with a combination of on-site days in the Louisville, KY area and remote days
• Monday through Friday, standard business hours

Salary Range:

The salary range for this position is approximately $95,000 – $118,000 annually ($45.67 – $56.73 per hour), based on experience and qualifications.

Interview Process:

Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.