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The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed conclusions about their health care and treatments, including health promotion and disease prevention.
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The Manager of Post-Acute Care provides leadership and operational oversite for care provided to the member within a focused area of the Continuum of Care. Areas of responsibilities programs responsibilities include skilled nursing, home health, hospice referrals, acute rehabilitation and LTACH any may include others as needed.
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POSITION SUMMARY: Directs and/or provides professional post anesthesia nursing care for an assigned group of patients across the age continuum. Climate control and ambient temperature variances may be experienced and required by patient care and needs of the surgical team.
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By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
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License in the state of CO/WA as a Registered Nurse, Nurse Practitioner, Physician Assistant, or other health care area related license. Recommends and evaluates processes to improve systems and patient care results across the continuum of care.
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Value-based care, patient-focused and allows you to spend time with those in your care. Active and unrestricted Registered Nurse and Nurse Practitioner license. Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services.
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Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing. Managed Care/IPA/Health Plan experience.
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Participates in the integrated care team meetings. Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first.
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In the Southeast Region, Atrium Health provides care under the Atrium Health Wake Forest Baptist name in the Winston-Salem, North Carolina, region, as well as Atrium Health Navicent and Atrium Health Floyd in Georgia and Alabama.
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Registered Nurse Breast Care Patient Navigator serves as a single point of contact for patients, caregivers and physicians to provide resources and assistance with accessing clinical and supportive care services offered within the health care system and in the community.
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Develops, implements, and monitors quality of CSA pulmonary standards across the continuum of care. Manages staff in providing delivery of high quality, patient-focused, and cost-effective pulmonary care services in a widely diverse culture across the CSA. Accountable for service area and across the continuum of care.
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The Nurse Navigator is nursing specialist who follows patients across the continuum of care. The Navigator coordinates with an advanced level of clinical expertise, all aspects of treatment and care for, and in collaboration with, Mercy's patients, their family and significant others, physicians, interdisciplinary team, and other support staff.
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