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Works effectively with interdisciplinary team of providers including PCP, substance abuse treatment, residential, hospital discharge planners, etc., to coordinate care delivery between all linked providers and client.
$41,600 - $46,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Nurse Navigator will also follow up with patients post discharge to ensure patients have met with their PCP, filled their prescriptions, completed their outpatient diagnostics, and followed all other post discharge stroke clinical practice guidelines.
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Coordinates medication delivery from onsite pharmacy at the time of discharge, as appropriate. Schedules follow up appointment(s) with PCP / Specialist / post-acute provider. Supports discharge planning activities under the direction of the Nurse Case Manager (CM) or Social Service Specialist (SSS.
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Prepare for and coordinate discharge from hospital at home with patient and family to ensure seamless transition to patient's PCP, home care services, and specialists, with community resources as appropriate.
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Works in conjunction with the hospitalist/post-acute care team and PCP as care team liaison. Oversees provisions for discharge from facilities including follow-up appointments, home health, DME, specialty services, etc., in order to maintain continuity of care.
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Patients are provided appointments to ensure that all hospital discharge instructions, medication reconciliation and symptoms have been stabilized and resolved prior to transitioning back to their PCP or to a long-term medical home.
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Communicating with the patient#s PCP throughout the hospitalization and or LTAC or SNF stay when needed, especially upon admission and discharge of the patient. Communicating with the patient's PCP throughout the hospitalization and or LTAC or SNF stay when needed, especially upon admission and discharge of the patient.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Consult with BH CP staff, Program Director, Medical Director, and Care Team members, PCP and/or MCO/ACO regarding Enrollees health related activities, interventions and service needs, as needed.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Ensure a 7 calendar day follow up with PCP post discharge. assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments by creating and following up on social work referrals.
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2 years of managed care, discharge planning or utilization review including clinical chart review experience. Functions as a liaison to promote an effective working relationship between providers that may include the PCP, hospitals, hospitalists, specialty physician(s), DME vendors, infusion companies, or other contracted health care agency or providers and the member/caregiver.
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Responsible for the coordination of post-discharge clinic appointments, medication reconciliation, PCP and SPC visits. Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-auth, PCP/SPC, Social Services) to coordinate the continuum of care of developing plans for management of each case.
TemporaryExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Discharge patients in a timely manner; discharge summary, prescriptions, follow up appointments, coordinate with other services (VNA/PCP) as needed. The University of Iowa Department of Urology is seeking to hire a motivated Advanced Registered Nurse Practitioner to provide direct medical care to patients in a health care setting (inpatient/outpatient) incorporating the primary role of advanced practice provider functioning as a consultant, educator, researcher, and administrator to support quality care and positive patient outcomes.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Document/dictate discharge summary in EMR for skilled patients transitioning to care back to PCP. Manage medical care of patients on skilled days; ensure adequate visits according to contract requirements and medical necessity; effect safe and timely discharge from skilled level of care.
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Assists Team Lead with service, agency, LME/MCO, state and/or federal documentation requirements and timelines such as NCTOPPs, PCPs/ITRs, and reminders relative to Clinical Monthly Summaries, Discharge Summaries, and Aggregate Reports.
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Preferred: one year experience providing care management, case management, or care coordination to the population being served; Commissioner for Case Management Certification (CCM); trained to provide evidence-based care coordination, brief behavioral interventions, clinical assessments, and to support the treatments such as medications initiated by the Primary Care Provider (PCP.
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