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Residents and the treatment team collaborate on discharge planning, which includes coordination of individual and family therapy, medication management, identification of a primary care physician and any vocational, recreational or educational planning.
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We offer a variety of programs including inpatient and outpatient behavioral health, residential treatment for court-involved teenage girls, geriatric services, clinical day treatment schools and chemical dependency services.
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We provide an array of services to Alexander, Buncombe, Burke, Catawba, Caldwell, Iredell, McDowell, and Mitchell counties which consist of Assertive Community Treatment Team, Community Support Team, Day Treatment, Integrated Care, Intensive In-Home, Medication Management, Outpatient Therapy, and Therapeutic Foster Care.
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The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
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ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the neediest population.
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In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family. We’re different than most primary care providers.
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The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
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We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCP’s become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures.
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Our mission is to honor seniors with affordable VIP care that delivers better health. Self-Care — A PCP can take the best care for their patients when they are adequately caring for themselves.
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Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
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We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient.
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The Primary Care Physician (PCP) In Our Organization Demonstrates. Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals.
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Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals.
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Service Orientation — PCP’s provide care that they would want for a family member or for themselves to each patient at every interaction. PCP will have an active role in the management of their center and will help cover for other providers who may be out for various reasons.
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Responsibilities The Registered Nurse, Home Based Primary Care (HBPC) duties include but are not limited to: Primary responsibilities include case management (advocacy, cultural competence, social determinant awareness, assessment, triage, Veteran education, resource coordination, medication and treatment coordination, care planning, communication, and documentation.
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care management primary coordination day treatment jobs in Rogers, Arkansas
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