Ваш надійний помічник
Requirements:
Responsibilities:
• Remotely providing basic patient coaching and care to improve patient outcomes.
• Coaching and educating patients on improving their Chronic Conditions, preventive care, and physician directives
• Updating and managing patient care plans based on an assessment of patient's needs and physician directives
• Schedule appointment scheduling on behalf of physicians
• Telephone outreach to English and Russian-speaking patients
• Facilitate CCM program enrollment
• Facilitate RPM- remote patient monitoring enrollment
• Monitor patients outcomes
• Clear explanation of the benefits of chronic care management
• Patient eligibility verification
• Concise and accurate documentation
• Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral
• Serve as the contact point, advocate, and information resource for patients and their care team.
• Work with patients to plan and monitor health and social needs
• Develop a care plan with the patient, family/caregiver (s), and provider
• Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed
• Create an ongoing process for patients and family/caregiver (s) to determine and request the level of care coordinates support they desire at any given point in time
Terms: Permanent remotely
Підписатись на розсилку нових вакансій: "Nurse в Києві"