Care Coordinator Specialist
5 days ago
We are seeking a highly skilled Care Coordinator Specialist to join our team at At Home Harmony. As a key member of our staff, you will be responsible for providing exceptional care and support to our patients in a remote environment.
Responsibilities- Clinical Support:
- Triage patients over the phone, facilitating scheduling in our electronic medical record system.
- Record patient information and data in the EMR, managing inbox needs and returning patient calls.
- Order diagnostic testing, track results, and post them for provider review.
- Monitor remote patient tools and contact patients based on clinical criteria for abnormal readings.
- Case Management:
- Create comprehensive care plans for enrolled patients, assisting with transitions of care, hospital discharges, and rehab admissions.
- Work with patients to set up RPM devices and complete in-person assessments as needed.
- Collaboration and Communication: Work closely with our team of providers and support staff to provide ongoing chronic care management to our patients.
- Education and Documentation: Provide education on disease management, risk reduction strategies, and tactics. Complete clear and concise documentation in our EMR system.
- 5 years' experience in case management, disease management, home health care, or a related field.
- Experience working with geriatric populations, preferably in settings such as Geriatrics, Family Practice, Internal Medicine, Cardiac, or Pulmonary.
- Current unrestricted VA license/certification required, BLS certification also required.
- 2 years of experience with Athena EMR, knowledge of chronic care monitoring/management preferred.
- Strong technology skills, including various systems, and excellent oral and written communication skills.
- Able to work efficiently in a remote environment and meet productivity metrics.
At Home Harmony is an innovative home-based Medical and Pharmacy practice in Richmond, VA. We provide exceptional healthcare for aging adults with complex chronic conditions using Medicares comprehensive programming. We value flexibility and team-oriented work environments and seek dedicated professionals to join our growing team.
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