- Cooperatively develop and integrate patient centered provider care plan and goals with the client/family and other providers
- Work collaboratively with team members to provide outreach and engagement with the patient
- Work closely with in-office providers/staff members to:
- Provide patient education to assist with self-management
- Identify gaps or barriers in treatment plans
- Coordinate care enrolled patients including scheduling appointments
- Coordinate referrals
- Coordinate community resources as needed (ie: home health, DME etc)
- Educate members on disease processes
- Encourage members to make healthy lifestyle changes
- Actively maintain assigned caseload of patients
- Make outbound calls to assess members current health status
- Receive and respond to telephone calls from patients. Collecting health data and providing medical guidance under the direction of the patients provider
- Document calls according to established guidelines
- Connects patient's care team together with updated information as received
- Participation in education and in-service programs
- Performs on-call for region that you are assigned
- Additional duties as assigned
- Unrestricted and current license to practice as LVN/LPN/RN with a New York State license.
- 3 years of experience within Care Management setting or Case Coordinator either in the homecare, inpatient, physician practice or in-home case management setting
- Strong working knowledge of chronic disease states including chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease and congestive heart failure and basic medical management of these states
- Must be highly motivated, result-oriented with strong skills in presenting, communicating, organizing and time management skills
- Strong organizational and interpersonal skills
- Excellent customer service skills demonstrated by positive feedback from patients/team
- Ability to identify problems and recommend solutions
- Demonstrates progressive proficiency with the utilization of available computer technology, including typing skills
- Demonstrates; leadership, communication, interpersonal and problem-solving skills
- Experience working with Electronic Health Record (EHR)
- Ability to sit and work at a computer for extended periods of time
- 60 words per minute typing
- Bilingual in Spanish preferred but not required
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Nursefinders Buffalo, United StatesJob Details · Also known as a nurse manager, the nursing supervisor is responsible for hiring and training new staff in a healthcare facility and supervising existing staff. The nursing supervisor is sometimes responsible for the following task: managing department budgets, list ...
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Spectrum Health & Human Services Buffalo, United StatesJob Description · Job Description **Sign- on Bonus $2,500**Agency Profile: Spectrum Health & Human Services respectfully partners with adults, children and families as they recover from behavioral, emotional, mental health and/or substance related disorders by offering individual ...
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TactStaff Buffalo, United StatesBusiness Development role is to create and maintain positive · relationships with healthcare entities across the USA in order to enhance patient care through. · travel healthcare staffing and executive search. · Essential Functions: · Prospect and contact new Hospitals and outpat ...
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UnitedHealth Group Cheektowaga, United StatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel ...
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Chronic Care Management- Nurse - Buffalo, United States - Mobile Healthcare Partners Inc
Description
Job Description
Job DescriptionMobile Healthcare Partners is seeking skilled Chronic Care Management Nurses (LVN, LPN, RN)Our office is located in Buffalo, New York but work can be on a Remote / Work From Home - Flexible Scheduling basis (MUST RESIDE IN NYS)
Mobile Healthcare Partners is a home-based primary care practice that specializes in geriatric healthcare, serving New York State.
This role will be providing telephonic Care Management for patients throughout the health system under the direction of a patient's provider. The CCM nurse utilizes nursing process to evaluate patient needs over the telephone and provide guidance and education to patients, adhering to organizational policies, procedures and guidelines. Provides high risk patients with chronic disease management and liaises between the patient, patient's family or caregiver, provider, provider's office, hospital, home care agency etc. This position is telephonic care coordination as directed by the patients provider.
Responsibilities:
Qualifications:
Benefits Include
Work From Home setting
Monday through Friday Day schedules
Benefits after 30 days
Company paid Short Term Disability
7 Paid Holidays
3 weeks of Time Off
Mobile Healthcare Partners, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Chronic Care Management- Nurse professionals in Buffalo
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Alena Korins
Aspiring Social Worker I College Student