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HMH PHYSICIAN SERVICES, INC. Hackensack, United StatesOur team members are the heart of what makes us better. · At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitiv ...
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Practice Outreach Coordinator, Licensed Practical Nurse - Hackensack, United States - HMH PHYSICIAN SERVICES, INC.
Description
Our team members are the heart of what makes us better.At
Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The core function of the Licensed Practical Nurse Practice Outreach Coordinator will focus on transitions of care including inpatient, emergency department, and skilled nursing facility transitions.
Although transitions in care are a daily priority, additional functions of this role include proactive outreach to patients to minimize gaps in care.
A Gap in Care is defined as the discrepancy between recommended best practices and the care that is actually obtained /provided.
This most commonly includes individuals missing age-based or seasonal screenings, non-compliance with chronic disease management visits every 3 months, missing prescribed care (referrals).
This team member will be central to coordinating prescribed care and preventive screenings.The work includes data mining in patients' EMRs, calling patients to facilitate prescribed care based on patient and provider preferences, and attending Quality Meetings at each assigned practice.
The work will naturally flow from individual practice and provider performance against measures. This work will include telephonic outreach to patients.
