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Become a part of our caring community and help us put health first Humana's Primary Care Organization (PCO) is the largest and fastest growing value-based care, senior-focused primary care network in the country, The Primary Care Physician (PCP) works as a lead in our team-based care environment.
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The Primary Care Nurse Practitioner, along with a multi-disciplinary clinical team, provides acute and primary care services to patients residing in skilled nursing and other community-based facilities.
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Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-authorization, PCP/SPC, Social Services, and Pharmacy) to coordinate the continuum of care of developing plans for management of each case.
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Coordinate with the Care Team (PCP, RN, Health Educator, LCSW, Director of Nursing and/or Chief Medical Officer) to ensure appropriate services are arranged for the patient in order for them to meet their goals.
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The Primary Care Physician (PCP) works as a lead in our team-based care environment. Our care team consists of doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators and more.
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This person provides warm hand-off consultations with primary care providers (PCP) and health center patients; develops treatment plans with the patient and medical team; delivers brief psychotherapy and psychoeducation interventions; provides assessments to appropriately identify and coordinate client's care; coordinates psychiatric and medical services with the patient's overall treatment plan; and meets minimum productivity standards of the agency.
$104,000 - $127,441 a yearFull-timeExpandUpdated 16 days ago - UpvoteDownvoteShare Job
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As a licensed independent mental health clinician works with the Primary Care team to address the behavioral health needs of patients in primary care utilizing the Collaborative Care model of integrated care, which includes consults, short-term counseling, care coordination, outreach and data collection.
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SUMMARYThe Care Navigator functions as a core member of an Integrated Care team that includes the Primary Care Provider (PCP), Behavioral Health Clinician (BHC), and psychiatric provider.
$19.25 - $25.06 an hourPart-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Lead a team caring for complex, value-based care (VBC) patients to include: Advanced Practice Providers, Social Workers, Clinical Pharmacists and Coordinators. Our high-risk program offers individualized, evidence-based, multidisciplinary, value-based care to our patients with the greatest needs in the care setting best suited to support their wellbeing including the PCP office, high risk clinics, patient homes, and other settings (e.g., dialysis centers.
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Acts as an active participant and key source of medical expertise with the care team through daily huddles. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patients physical, emotional, and social wellness.
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The LMSW – Transitional Case Manager collaborates with the primary physician and other health care team members in the development of the patient goals and action plan, ensuring the formulation of a realistic and definitive transitional care plans that represents the total care needs and resources of the patient/client and family.
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Communicates daily with direct care givers and case management triad regarding patient and family responses to plan of care, identification of problems, discharge planning, and payer concerns such as LOS. Collaborates with utilization review team members on medical necessity determinations.
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To home including follow-up phone calls and the coordination of follow-up visits with the primary care Provider-Team to include: Obtaining daily list of patients admitted and discharged from the hospital, using My Patient Your Patient Software, and meeting with GHP Case Manager to determine accountability for patient TOC management.
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Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more.
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Humanas Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva.
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