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The team manages student cases from open to close; facilitates wellbeing checks; supports students transitioning to/from MIT due to hospitalizations, leaves, and returns; and collaborates with stakeholders to ensure that students are receiving timely attention and follow-up.
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The Nurse Practitioner will provide treatment, consultation, follow-up care, and medication titration in partnership with a Cardiologist and Endocrinologist. Co-lead community-based shared medical appointments focused on lifestyle modification and self-management along with other multidisciplinary team members (e.g., wellness coach, licensed independent social worker, navigator.
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The team will partner closely with PCPs, Integrated Behavioral Health Professionals, Pharmacists, and other local resources in the Primary Care Practice to develop multi-disciplinary care plans.
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This nursing team establishes a trusting relationship and usher patients through each visit with expert care, symptom management, education and advocacy. Documents research nurse encounters in the medical record including patient education, required protocol assessments, oral study drug adherence, protocol deviations, phone encounters and follow-up.
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This position plays a crucial role in facilitating communication with pharmacies, DME providers, and insurance companies, as well as engaging with patients about their results and follow-up care.
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This position supports the Principal Investigator and team in research study activities including but not limited to study start-up, recruitment, enrollment, follow-up and close out activities.
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Follow patients through the entire course of treatment, whether inpatient, outpatient, or in the community and provide them the education they need; provide service coordination and linkage, including benefits (i.e., SSI, Medicaid), housing, health care, social and behavioral health services, and all other necessary services; provide prevention, intervention, and development of a crisis plan with patients; assist patients with setting up transportation.
$22.07 an hourFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Coordinate authorizations and service referrals with Commonwealth Care Alliance (CCA) Utilization Management and Clinical Operations Team and participate in care transitions and post-discharge follow-up where indicated.
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Registered Nurse (RN) Responsibilities (Including but not limited to)Wound careMedication managementCatheter managementDiabetic CareAccurate and timely documentationVisits can range from basic wellness visits to education on disease management, follow up on MD visits and ordering supplies, wound care, medication management, etc.
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Where Talent Meets Heartfelt HospitalityWhy Join Our Culinary Family:We care about our team and offer lots of benefits for your growth and happiness. After each meal, set up the Dining Room again and take pride in how it looks.
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It will also include arranging outpatient follow-up appointments for patients, which may include helping the patient connect to community providers (opioid treatment program, primary care, therapy, intensive outpatient treatment, or psychiatry) and to inpatient placement (ATS & CSS.
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Follow up of an enrollee's inpatient stay, (including hospital, shelter, substance abuse programs, SNF), and collaborate with enrollee, Care Team, and hospital staff to coordinate transitions of care.
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Master Scheduler Using a decision tree, schedules appropriate follow-up appointments as requested by providers at check-out Provides direct administrative support to a subset of providers.
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Participating in planning and implementation of discharge and outpatient service plans and collaborating with health care team and community agencies to plan, implement and follow up on treatment and provision of needed services.
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Influences appropriate utilization of healthcare resources by helping to coordinate patient care, encouraging patient involvement in disease management and wellness programs, and conducting follow-up care for acute care or psychiatric admissions, emergency department visits, specialist visits, and sub-acute / rehabilitation care stays.
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care team follow up jobs in Saugus, MA
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