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OPENING DATE:04/21/2026CLOSING DATE:Open Until FilledBARGAINING UNIT:Non-Union Personnel PlanSCHEDULING/HOURS OF WORK:Regular Full-Time, 40 Hours Per WeekPriority Application Date: April 27, 2026 by 5:00 PM (Mountain Time) Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled.Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula!Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 18,000 individuals and families. A 14-site, Federally Qualified Health Center in Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical and dental (no cost for employee), and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time.DEFINITION:Plans, organizes, and provides direct patient care and population-based care management services within a Federally Qualified Health Center (FQHC). Identifies and manages high-risk, rising-risk, and specialty populations; develops and monitors individualized care plans; supports preventive care outreach; and tracks clinical outcomes to support UDS reporting, quality improvement, and Value-Based Care initiatives. Works collaboratively with providers, care teams, and community partners to improve patient outcomes and advance health equity.REPRESENTATIVE EXAMPLES OF WORK:Provides direct nursing care within scope of practice, including nurse triage, health assessments, clinical decision support, immunizations, injections, and point-of-care testing (e.g., glucose, A1c, INR, rapid tests).Performs comprehensive and focused patient assessments, including physical, psychosocial, and social determinants of health; documents assessments, interventions, and outcomes accurately in the electronic medical record.Delivers evidence-based patient education related to chronic disease management (including diabetes, hypertension, asthma, and COPD), medications, lifestyle modification, preventive care, and self-management strategies.Identifies high-risk, rising-risk, and specialty populations using EMR data, registries, risk stratification tools, and quality reports; conducts care management assessments and enrolls eligible patients into population health and care management programs.Develops, implements, and regularly updates individualized, patient-centered care plans in collaboration with patients, providers, and interdisciplinary care teams.Coordinates care across primary care, behavioral health, specialty care, inpatient services, and community-based resources; supports care transitions and proactive follow-up to reduce avoidable utilization.Supports population health outreach efforts focused on preventive care and care gap closure, including cancer screenings, immunizations, and chronic disease monitoring, utilizing evidence-based clinical guidelines.Conducts phone, electronic, and in-person outreach to engage patients in recommended services; documents outreach activities and outcomes in the EMR.Tracks, analyzes, and reports clinical and utilization data to support UDS reporting, payer quality metrics, and Value-Based Care programs; monitors patient outcomes and identifies gaps in care.Participates in quality improvement initiatives, chart reviews, audits, and workflow optimization efforts to support compliance with FQHC requirements and regulatory standards.Supports development, implementation, and ongoing administration of population health and care management programs; assists with staff education related to population health workflows and best practices.Serves as a clinical liaison between patients, providers, care teams, and external partners; communicates professionally, compassionately, and clearly with diverse populations.Maintains clinical competencies and adheres to nursing standards, infection control practices, organizational policies, and regulatory requirements.OTHER DUTIES:Performs related duties as required or directed.SUPERVISION RECEIVED: Works under the general direction of the Clinic Director or designee.SUPERVISION EXERCISED: Provide functional guidance and clinical support to care team staff related to population health and care management workflows. Directly supervises population health staff.WORKING RELATIONSHIPS: Works closely with medical providers, nursing staff, behavioral health, care coordinators, quality and data teams, hospital discharge planners, public health agencies, community-based organizations, and other specialty or social service providers involved in patient care.REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:KNOWLEDGE: Working knowledge of population health principles, care management models, chronic disease management, preventive care guidelines, and value-based care programs. Working knowledge of UDS reporting requirements, quality metrics, and healthcare regulatory standards. Working knowledge of HIPAA compliance, infection control practices, and Healthcare Professional Basic Life Support (BLS) guidelines.SKILLS: Skill in clinical assessment, care coordination, patient education, and care planning. Skill in use of electronic health records (including EPIC), registries, and reporting tools. Skill in data analysis, quality improvement, and documentation.ABILITIES: Ability to coordinate complex, patient-centered care plans and manage multiple priorities in a fast-paced environment. Ability to analyze clinical and quality data and make recommendations to care teams. Ability to communicate effectively, both verbally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and interdisciplinary teams. Ability to provide culturally responsive care to underserved populations.MINIMUM QUALIFICATIONS:EDUCATION: Requires a Bachelor’s degree in Nursing.EXPERIENCE: Requires a minimum of three (3) years of nursing experience, preferably in primary care, population health, care management, or community health. SPECIAL REQUIREMENTS: Requires current, unrestricted license to practice as a Registered Nurse in Montana. Subject to passing a criminal background investigation that will require fingerprinting. May include pre-employment drug screening.Requires a current Healthcare Professional BLS certification or the ability to obtain it within 90 days of hire. Requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person. PHYSICAL/ENVIRONMENTAL DEMANDS:The work requires some physical exertion such as standing, walking, bending, and occasional lifting of up to 25 pounds. Requires manual dexterity to perform nursing skills such as giving injections and performing point-of-care testing. The employee may be exposed to communicable diseases. This job is primarily clinic-based and not eligible for remote work; work schedules may include evening and weekend hours, and travel to other satellite locations as needed.TO APPLY:•Please complete all sections of the online application at partnershiphealthcenter.org/careers, even if a resume is submitted. A resume will not substitute for completing the work history section of the application. •Please include with your email the following attachments: Cover Letter, Resume, copy of current RN License, Transcripts, a copy of your diploma, and valid MT Driver’s License.•Please describe your experience or interest in working with diverse populations.•Incomplete applications and applications without required attachments will be disqualified.