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Primary Responsibilities: Assisting physicians with new and follow-up patient visits during attending office hours; in office device interrogation, creating treatment plans in collaboration with physicians Triage phone calls and arrange for patient follow-up as appropriateCommunicate patient care plan with PCPs, cardiologists and specialistsProviding post-procedure wound checks/ office visits What makes an Optum Care organization different.
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Assist with follow-up regarding Employment authorizationAssist with scheduling employees for disciplinary hearingsAssist HR Compliance Coordinator to contact HHA’s for missing documents; entering data/updates for in-services, medical reports.
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The Care Worker (CW) blends the mission of AHF with care management follow-up, contact, and detail. Utilizing a strong experience in care coordination and social work, the Care Worker understands the social deterrents of this population, as well as the challenges and barriers to being able to follow through on a plan of care.
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The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations.
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Empathetically cares for patients during all stages of preventive services, health maintenance, diagnosis, treatment and follow-up along the continuum of care.
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The IHA NP helps to coordinate, monitor, and ensure information is shared in an appropriate and timely primary, across the continuum of care. As an IHA NP, your goal is to help improve the quality of life and health literacy by completing an in-home visit (that can last up to one hour) evaluating health status, medical history, current medications, social determinants, and other risks.
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Coordinates with TPMG to provide for the seamless transition of patients across the continuum of care. + With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
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Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction.
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Duty 3: Coordinates care by all agencies involved in assisting the sexual assault victim and coordinates referrals for appropriate medical and psychological follow-up as needed for each patient.
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Serves as AMC Liaison with executive leadership interfacing with continuum of care providers and public agencies including: SNF Administrators, vendors, CHHAs, LDSS-APS/CPS, NYS-OMH, OPWDD, MHLS among other regulatory agencies.
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Provide client follow-up and make recommendations for work performance based on knowledge in anatomy, physiology, biomechanics, and ergonomic principles. Follow-up with client members to ensure early symptom recognition and injury prevention.
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Timely create and exchange/transmit continuity of care document(s) with other practitioners and providers Responsible for the performance of HEDIS Part D measures (medication adherence), and SPC and CBP, CDC, MRP measures from Part CEnsures patient is managed based on risk level of EPIC Registry Predictable Risk ModelIdentify patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.
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Follow-Up Care: Coordinate and provide comprehensive follow-up services to ensure continuity of care for clients, monitoring progress and adjusting treatment plans as needed.
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The ASPCA is headquartered in New York City, where we maintain a full-service animal hospital, spay/neuter clinic, mobile spay/neuter and primary pet care clinics, a rehabilitation center for canine victims of cruelty, kitten nursery, adoption center, and two community veterinary centers.
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Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services.
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continuum of care follow up jobs Company: Alta Hospitals in Murray, Utah
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