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This nurse provides direct patient care, care coordination, health promotion, health education and coaching on wellness, disease prevention, and chronic care management.
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Coaches target patient populations and their caregivers to assume an active role in the formation and execution of a plan of care, encourage self management, and assist in coordination of communication between the patient, caregivers and primary care providers.
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The Street Medicine Nurse works with a variety partner organizations by providing transitional healthcare until a patient has stabilized enough to transition to others systems of conventional care (e.g. primary care and/or a community mental health clinic, intensive case management program, housing) or has been placed in a higher level of care.
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Relevant experience in one or more of the following healthcare areas preferred: Coordination of community resources Care management of diverse patient populations Ambulatory Care Knowledge of levels of care throughout the health care continuum to include; inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management.
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Women’s Health Specific Duties:· Provides comprehensive primary care to a select population of essentially healthy women in a variety of settings to include, obstetrical antepartum management, postpartum care, and gynecologic care to include in-house care coordination and disease management for patients requiring further coordination/follow-up.
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Among the key duties of this position are the following:Responsible for taking medical histories, performing physical examinations, including women’s reproductive and sexual health care, ordering and interpreting lab tests, medications management, referrals to specialty care as medically appropriate and coordination of patient care with a diverse team of individuals.
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Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most complex or high risk/high acuity populations with primarily medical/physical health needs, to enable quality, cost-effective healthcare outcomes.
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Under the direction of the Primary Care Provider, Clinical Practice Manager and Office Supervisor, the RN works closely with the health care team to skillfully provide and facilitate the coordination of individualized total patient care.
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Summary: Acts as the primary health care provider performing health care assessments, diagnosis, treatment, preventive health care, instructions and follow-up care to patients in the management of patient and family care following established protocols.
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In collaboration with the healthcare team and PCP, participates in the coordination of care and on-going management of patients with stable chronic diseases by developing shared care plans, performing medication reconciliation, processing prescription renewals, performing symptom assessments, and coordinating VNA referrals.
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Acts as the primary health care provider performing health care assessments, diagnosis, treatment, preventive health care, instructions and follow-up care to patients in the management of patient and family care following established protocols.
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A registered nurse with four years of experience within the last five years in a home care agency, primary care clinic or health facility, at least one year of which was in a supervisory or administrative capacity.
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Collaborates and communicates with the patient/family, Primary Nurse, Patient Care Coordinator, Physician, Referral Source, and Hospice Interdisciplinary Team to ensure optimal coordination of care for each patient/family and to participate in the development and monitoring of the plan of care to ensure effective patient case management.
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FCHC has created a one-stop shop for patients-providing Pediatric and Adult Primary Care, Dental, OB/GYN and Womens Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services.
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The virtual nurse will assist with tasks such completing the admission and discharge process, care plan development and maintenance, patient education, medication and discharge teaching, care coordination, mentoring of new nurses, and implementation of evidence-based care.
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care management primary coordination registered nurse jobs in Rogers, Arkansas
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