Chronic Care Coordinator
2 weeks ago
Vitability Health is revolutionizing the way patients receive quality care.
Key Responsibilities:- Manage a caseload of patients with chronic conditions, including those with mental health issues.
- Collaborate with healthcare providers to identify patients who would benefit from care management.
- Develop relationships with patients and their families to ensure comprehensive care.
- Provide follow-up support to patients to ensure adherence to their care plans.
- Respond to urgent and emergency calls during working hours.
- Anticipate patient needs and ensure necessary documentation and pre-visit planning is completed.
- Empower patients to manage their health and independence.
- Determine and coordinate referrals as needed.
- Work with patients and their care teams to develop individualized treatment plans.
- Monitor patient progress and report to healthcare providers.
- Assist patients in setting SMART goals and teaching self-management skills.
- Identify barriers to treatment and develop strategies to overcome them.
- Participate in team meetings and peer review activities.
- Promote collaborative teamwork and work effectively in a team environment.
- Collaborate with payer case managers to secure additional services.
- Maintain a list of medical supplies and community resources available to patients.
- Make recommendations for policies and procedures to ensure timely preventive services.
- Provide follow-up support during transitions of care.
- Coordinate disease registry activities.
- Conduct home visits with physicians to assess patient safety and medication compliance.
To succeed in this role, the individual must possess the following knowledge, skills, and abilities:
- Knowledge of the Patient-Centered Medical Home model and insurance industry practices.
- Understanding of chronic disease and preventive care measures.
- Bachelor's degree in healthcare administration, health informatics, or a related field.
- Licensure as a Licensed Practical Nurse or Registered Nurse.
- Experience working with patients with mental health issues is preferred.
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Chronic Care Coordinator
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Brooklyn, New York, United States Vitability Health Full timeJob SummaryVitability Health is revolutionizing the way patients receive quality care. We are seeking a skilled Chronic Care Manager to join our team.Key ResponsibilitiesManage a caseload of patients with chronic conditions, including those with mental health issues.Collaborate with physicians, providers, and practice staff to identify patients for care...
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Chronic Care Coordinator
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Brooklyn, New York, United States Vitability Health Full timeJob SummaryVitability Health is revolutionizing the way patients receive quality care. We are seeking a skilled Chronic Care Manager to join our team.Key ResponsibilitiesManage a caseload of patients with chronic conditions, including those with mental health issues.Collaborate with physicians, providers, and practice staff to identify patients for care...
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