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RN, Pediatric Nurse Care Manager - ACO
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- RN, Pediatric Nurse Care Manager- ACO
- ACO- Pediatric Nurse Care Manager i s responsible for the management of care for a defined group of patients including complex care management, transitions of care, as well as coordination of care.
- The goal is to work with patients to optimize control of chronic medical and mental health conditions, improve functional status, reinforce self-management plan and prevent/minimize long-term complications as well as to avoid unnecessary emergency room visits or hospital admissions.
- Outreaching to the patients to perform a medication reconciliation, ensure patients understanding of discharge instructions and assess for further care management needs.
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