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Certification as Certified Case Manager (CCMC), Accredited Case Manager (ACMA), Care Coordination and Transition Management (AAACN), Ambulatory Care Nursing (AAACN), or similar required or obtained within 3 years of hire ( Employees hired prior to 8/1/2023 will have this requirement waived.
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Through these activities, the Ambulatory Nurse Case Manager will partner with physician practices and the care management team related to the clinical and care coordination needs of the patient, as well as work with payers and/or community resources to develop and facilitate effective, efficient care delivery options for the identified at risk patients across the care continuum.
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The Ambulatory Care Nurse (RN) is an on-site nurse RN serving as an integral member of the patient care team, supporting assigned care teams by managing high and rising risk patients, coordination services throughout the continuum of care and serves as the in-office nurse.
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The UCSF Health System's 2020 vision is to provide innovative, high quality, cost-competitive clinical services, and deliver an unparalleled patient experience across the entire care continuum.
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Given a diagnosis, synthesize a treatment plan, which may include drug therapy and lifestyle modifications, and transition within the continuum of care settings. License, Certification, RegistrationPharmacist License (California) required at hireNational Provider Identifier required at hireBasic Life Support within 3 months of hire Additional Requirements:Knowledge Required:Comprehensive knowledge of current pharmacological/biopharmaceutical principles, medical terminology, pathologies, disease state management, age appropriate therapy, and other information as it pertains to medical or pharmaceutical care management plan.
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Practices within a health care system that allows medical consultation, collaborative management and referral health care of women, i.e. well woman, gynecology, obstetrics (antepartum, labor, delivery and postpartum), and family planning.
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The purpose of the Ambulatory Nurse Case Managers is to comprehensively and actively manage the care management and coordination needs of payer defined and/or payer enrolled populations or patients who meet designated inclusion criteria.
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Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
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Documents all necessary components of the transitional care management visit. Acts as a liaison between referral sources, facilities, and external entities to prevent and/or resolve continuum of care issues.
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Recommends and evaluates processes to improve systems and patient care results across the continuum of care. Education· Bachelor's degree in nursing or health care related field such as management OR four (4) years of experience in a directly related field.
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Provides outreach and transition management across the continuum of care. Effectively interacts within the health care team to manage and coordinate the patient centered and family focused care along the continuum of care.
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The exemplary care of our patients along life’s continuum, allows our leadership to advance Hattiesburg Clinic’s goal to be the health care provider of choice in the communities we serve.
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Coordinates care using the nursing process, multidisciplinary collaboration and coordination of all appropriate health services and community resources across the care continuum.
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Interdisciplinary collaboration in management of our patient’s plan of care and goals from admission to discharge to ensure safe transitioning and continuum of care.
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Manage the daily operations of multiple clinics including but not limited to, Primary Care Clinics and Multiple Specialty Care Clinics, Resident Clinics, and Urgent Care Clinics to ensure efficient and effective patient care throughout the continuum offered at each facility.
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care management continuum of jobs Title: ambulatory in Bothell, Washington
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