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This role focuses on improving the health status and connection to resources, preventive care, hospital follow-up, and ongoing healthcare for individuals with chronic health conditions as well as addressing frequent hospital and emergency department utilization, and medical, behavioral health, and psychosocial needs by performing care management and care coordination functions in a variety of settings that include a patient's home, community, and clinic.
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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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Manages a designated caseload to complete timely development, completion, and implementation of assessments, care plans, and appropriate interventions for identified patient population to determine patient health, social situation, physical environment, behavioral health, substance use, expressed trauma, economic status, and education to patients while exercising discretion and independent judgment.
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The Nurse Care Coordinator at Kolmac Integrated Behavioral Health and all its subsidiaries ("Kolmac" or the "Company") under general supervision oversees the implementation of the CCG Population Health.
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General Purpose of Job : As part of a larger Population Health Service Organization (PHSO) strategy, the Manager of Care Management will play an integral role in the larger ambulatory care management programming for Sparrow Medical Group (SMG) and Sparrow Care Network (SCN) practices, acting as the subject matter expert (SME) for both their locally assigned clinics.
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The Community Outreach Population Health Nurse Practitioner (NP) will provide primary health care and behavioral health services as a member of a healthcare team comprised of Behavioral Health and Community Outreach RNs, Peers, Community Health Workers, and drivers.
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The Care Coordinator is responsible for providing clinical assessment (i.e., diagnosis, behavioral health assessments, client plan and progress notes) through a trauma-informed lens, therapeutic based services, and case management to a diverse population of at-risk youth, young adults, and families.
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We have a team-based care model as a Patient-Centered Medical Home, with integrated behavioral health, team RNs, population health coordinators, high-risk RN case management, community resource specialists, community health workers, as well as nurse-led visits and non-face-to-face visits with support of My Chart and/or RN phone calls.
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We partner with communities to seek health and wellness, working to eliminate healthcare inequities with an expanded care team that includes behavioral health, social workers, nurses, population health coordinators, patient navigators, community health workers, community resource specialists, high-risk RN case management, and support for virtual visits.
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Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, Banner Home Care/Hospice or Boswell Skilled Nursing Facility must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
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At 360 Behavioral Health- Support Services, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays.
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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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Plan, manage, direct, and coordinate population health and value-based care activities to achieve organizational goals and optimize performance in value-based contracts and incentive payment models.
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The civilian-led Aurora Mobile Response Team (AMRT), the Aurora Police Department's Crisis Response Team (CRT), and the Targeted Violence Prevention (TVP) program operate to provide a continuum of care through direct intervention, individualized crisis case management and resource referrals.
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Youll be part of an integrative primary care team including an embedded APP who will support your panel and In Basket management, a behavioral health provider, clinical pharmacist, diabetes educator, and case management team.
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behavioral health population management direct care jobs Company: Banner Health in East-hartford, Connecticut
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