- Mount Sinai Health System (New York, NY)
- …**Responsibility #4 Quality/Utilization Management ** + Assist with scaling MTM and chronic disease management program and managing goals of pharmacy ... Delivery of clinical pharmacy services with a focus on chronic care management , transitions of care, and...and patients on processes such as medication reconciliation and disease state management + Lead and participate… more
- Guthrie (Corning, NY)
- … meetings, as well as leading discussions and teachings to practice level staff on chronic disease management and high‐risk patient management . Other ... Coordinator has the responsibility and accountability for coordinating the medical management of patients, using an outcomes‐based approach. In collaboration with… more
- Beth Israel Lahey Health (Jamaica Plain, MA)
- …of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general ... care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. Responsible for INR management … more
- Beth Israel Lahey Health (Milton, MA)
- …of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general ... care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. (essential) 4. Responsible for INR … more
- HCA Healthcare (Austin, TX)
- …and provider empanelment processes + Schedules appointments related to preventive care, chronic disease management , and/or integrated behavioral health + ... with established workflow protocols + Identifies patients eligible for chronic care management + In partnership with the Care Manager, ensures comprehensive… more
- Cornell Scott Hill Health Corporation (New Haven, CT)
- …and other agencies as necessary. * Educates patients on preventive health care and chronic disease management . * Treats patients and staff respectfully, ... Knowledge of physical assessment, differential diagnosis, pathophysiology, pharmacology, and management of acute and chronic patient/family problems. Knowledge… more
- Sutter Health (Davis, CA)
- …disease state education and monitoring to achieve optimal outcomes and is focused on chronic disease state management as part of a coordinated team. **Job ... disease states, and related information for a medical management plan. + Knowledge of acute and chronic disease and its effects on patients and… more
- Sutter Health (Santa Cruz, CA)
- …disease state education and monitoring to achieve optimal outcomes and is focused on chronic disease state management as part of a coordinated team. **Job ... disease states, and related information for a medical management plan. Knowledge of acute and chronic disease and its effects on patients and caregivers.… more
- Indian Health Service (White Earth, MN)
- …regimen, providing coaching and guidance on positive health behaviors and providing chronic disease management . Assess, plan, implement and evaluate ... outcomes. Assess the patient's physical, emotional, spiritual, and social-cultural needs. Promote self- management of chronic disease through helping patients… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …managing a panel of patients' health care, including preventative, ambulatory acute, and chronic disease management . Provider is expected to maintain Joint ... as appropriate. Providing health education and health coaching on wellness, disease prevention, chronic care management , and self- management skills to… more
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