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The Population Health (PH) LPN Care Coordinator supports the goals of the Department by identifying and coordinating care for patients meeting criteria for participation in the Remote Patient Monitoring (RPM) program, patients discharged from hospital to home through the Transitional Care Management (TCM) program and patients requiring follow up care with the Mobile Integrated Health (MIH) team.
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DEPARTMENTAL SUMMARY: The Integrated Behavioral Health Department includes Master's and Doctoral level clinician who are integrated into primary care settings as well as some specialty care settings.
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The CCMHC is responsible for providing triage, clinical assessment, direct diagnosis of mental health disorders in conjunction with DSM, ICD-10 and Collaborative Care and/or Psychotherapy codes, psychoeducation to patients and primary care providers, care coordination, case management, direct evidence-based psychotherapy, treatment plan formulation and updates, crisis coordination, and relapse prevention planning.
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Provides a range of services including screening for common conditions, assessments, and interventions related to behavioral health and chronic disease management programs. The position collaborates with professionals such as, Psychiatrist, nurses, case managers and primary care physicians in developing treatment programs for providing the most comprehensive and integrated care possible for patients.
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The locations we are looking to cover are CVMC Green Mountain Family Practice (Northfield), CVMC Integrative Medicine (Montpelier), CVMC Family Medicine (Berlin) and CVMC Pediatric Primary Care (Berlin.
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Our programs include primary and preventive health care, dental and vision, culturally appropriate health education, chronic disease management and prevention, integrated HIV/AIDS-related services and integrated behavioral health and substance use care.
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Offers primary care, chiropractic care, pain management, diabetes care, endocrinology, women's health, substance abuse treatment, dental care, infectious disease, rheumatology and behavioral health.
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Working knowledge of CMS guidelines for chronic care management (CCM) and remote patient monitoring (RPM) programs a plusStrong clinical assessment and care planning skills.
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The NP manages LIFE Program participants, providing primary health care and case management, focusing on disease prevention, wellness and management of chronic and acute illness in collaboration with the LIFE Program Primary Care Providers (PCPs) and Medical Director.
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This position is for a full-time Rehabilitation and Extended (REC) Care Associate Medical Director - Internal Medicine Physician/Family Practice Physician/Geriatrician, for the REC Community Living Center (CLC) and Home-Based Primary Care (HBPC) clinic.
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MediSys Health Network is a New York, non-profit, hospital network consisting of the award-winning Jamaica and Flushing Hospital Medical Centers, Jamaica Nursing Home and 10 community-based Family Care Centers.
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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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Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients.
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Assures the competence and effectiveness of professional and support staff that provide care, and integrates population health and care management (CCM/ACMA/NCQA) driven competencies.
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Will provide relevant information about the Patient Centered Medical Home (PCMH) and Chronic Care Management program (CCM) program including brochures, that describe the values and goals of the program to The information disseminated will be based upon the person's role as it relates to patient care within LISH.
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care management primary coordination home health chronic jobs Company: Health Ecareers in Rogers, Arkansas
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