POPULATION HEALTH NURSE

  • Requisition Number: 401341327
  • Department: DUKE PRIMARY CARE
  • Location: Durham
  • Type of Position: Regular
  • Shift: First/Day
  • Specialty: Clinics/Ambulatory Services
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Position Overview:
This position is working with Duke Primary Care (DPC) patients via telephone who have depression symptoms. DPC is one of the state’s largest primary care physician networks. The DPC network plays a key role in Duke Health’s clinical care and research, and reflects Duke’s commitment to providing high quality care to its employees and peoples in the surrounding area. DCP comprises 28 primary care practices and 5 urgent care practices in seven counties including Durham, Wake, Orange, Granville, Alamance, Chatham, and Vance. DPC providers see more than 600,000 patient encounters annually.

DPC seeks to continually improve the delivery of primary medical care. One of the many recent improvements is implementing collaborative care for depression for our patients who screen positive for depression on their PHQ-9 survey. We have established a behavioral health department that will focus on adding value to the primary care provider’s health care treatment, through collaborative care that utilizes patient encounters taking place outside of the traditional office visit. Based on a substantial body of evidence over the past 20 years collaborative care has emerged as a highly effective model for improving health and improving primary health care delivery. DPC’s initial data supports that we can be successful at the delivery of collaborative care for depression. Patients have shown improvements or remission of their depression symptoms as measured via the PHQ and the feedback from patients and providers alike has been very positive. We are excited about implementing this program at all Duke primary care sites.

Currently we are hiring RN’s who have a high degree of empathy for patients who are experiencing symptoms of depression and other behavioral health concerns. Patients are referred by their primary care provider for telephone support and management of their depression symptoms. The RN behavioral health care manager provides patient care via telephone appointments and via the electronic patient medical record communicates with primary care providers any recommendations from the consulting psychiatrist. Upon referral from the primary care provider the care manager is responsible for conducting initial comprehensive psychological assessments, eliciting patient’s treatment preferences and needs, presenting patient cases in weekly rounds meeting to the consulting psychiatrist and communicating those rounds recommendations back to the primary care provider and then to patient. Patient follow-up appointments are generally every two weeks where the RN re-administers the PHQ-9, assesses medication effectiveness and side effects, engages the patient in a therapeutic alliance, and encourages treatment adherence and self-management of depression. Skills in motivational interviewing are helpful in guiding the patient in setting self-management goals.

This position is for a care manager in the field of behavioral health nursing and utilizes the collaborative care model for treating depression in primary care. The nurse, in the care manager role on the collaborative care team, conducts patient contacts primarily through scheduled telephone appointments. Care management includes assessment of medication effectiveness and adherence, providing patient education on mood disorders and pain, and brief structured counseling that focuses on the patient’s own self-management of their depression. Upon referral from the primary care provider the care manager is responsible for conducting initial comprehensive psychological assessments, eliciting patient’s treatment preferences and needs, presenting patient cases in the weekly rounds meeting with the consulting psychiatrist and communicating those rounds recommendations back to the primary care provider and then to patient. Patient follow-up appointments are generally every two weeks where the RN re-administers the PHQ-9, assesses medication effectiveness and side effects, engages the patient in a therapeutic alliance, and encourages treatment adherence and self-management of depression. Skills in motivational interviewing are helpful in guiding the patient in setting self-management goals.

Clinics/Ambulatory Services