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Team Nurse
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- We take these patients out of those spaces and turn them into members : people who are entitled to some of the best, most focused care this country has to offer.
- This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.
- Facilitate Patient Centered Medical Home (PCMH) functions through management of diagnostic order tracking, medication refills, review of the medical record, and fielding messages from members and the integrated care team.
- Meet with members in the medical center as an extension of the primary care provider to address member needs, including medication reconciliation and teaching and coaching for effective disease management.
- Engage members telephonically between primary care visits to support PCMH activities, panel management, and action plan completion.
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