Case Management Nurse - Springfield, MA
1 week ago
Job summary
The Outpatient Nurse Care Manager is responsible for managing the complex patients that are included in the risk contracts. They are responsible for the management of care for this defined group of patients including complex care management, disease management, transitions of care, as well as coordination of care.
+Responsibilities
- Accurately identifying patients for care management,
developing individualized plans of care,
providing education, - MEDICATION RECONCILIATION MEDICATION TITRATION AS WELL AS ENSURING ADHERENCE TO QUALITY MEASURES ,
- SERVING PATIENTS TO OPTIMIZE CONTROL OF CHRONIC CONDITIONS IMPROVE FUNCTIONAL STATUS REINFORCE SELF MANAGEMENT PLAN AND PREVENT/MINIMIZE LONG TERM COMPLICATIONS AS WELL AS AVOID UNNECESSARY EMERGENCY ROOM VISITS OR HOSPITAL ADMITIONS ,
Job description
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