Job Description

Job Responsibilities:

• Assists physicians and other healthcare providers in identification of patients in their panel that need aggressive disease management.
• Supports primary care and sub-specialty co-management with timely communication, follow-up and integration of the patient's disease management plan.
• Assists medical director to measure patient outcomes. Works with providers to redesign care processes and improve quality.
• Involved in patient education related to specific chronic diseases. Works with providers to develop and implement patient education sessions.
• Facilitates patient access to care based upon the needs of the patient and family.
• Works with the electronic medical record team members to develop and manage disease specific registries.
• Performs other duties as assigned or requested.

Education: Education and licensing at a level of medical assistant or licensed practical nurse.

Experience: 3-5 years experience in a clinical environment and experience in chronic disease management.

Internal applicants must call HR at ext. 11653 to determine eligibility before applying.

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