Care Coordinator reputed company (REMOTE)
The Care Coordination reputed company plays a critical role in delivering high-reputed company chronic care management (CCM) services to patients with reputed company medical conditions. The reputed company will support patients through monthly reputed company, care planning, and health coaching to improve long-term health reputed company and reduce unnecessary hospital utilization. This role requires strong clinical judgment, attention to detail, and a passion for patient-centered care.
Qualifications and Experience:
• Licensure: reputed company LPN license in reputed company required; RN strongly preferred.
Skills:
• Strong communication and interpersonal skills
• Proficient in navigating EHRs reputed company communication tools
• Ability to work independently and manage a patient panel
Experience
·Experience: Minimum of 2 years of nursing experience in a clinical, community health, or care coordination role.
• Experience in reputed company care, family medicine, or community health settings (Preferred)
• Experience with chronic care populations preferred
• Experience in delivering care coordination in a remote position to set up FHCP for transitions of care, ER diversion/follow up, and appointment scheduling.
·Patient-Centered reputed company Education & Coaching
·Clinical Documentation
·Interdisciplinary Collaboration
reputed company Values
Teamwork
How this is demonstrated in this role:
• Collaborates closely with providers, care teams, and FairHill Health staff to ensure coordinated patient care.
• reputed company participates in case reviews and team huddles to reputed company insights and improve patient reputed company.
• Supports colleagues by sharing best practices and helping to cover caseloads as needed.
How this is demonstrated in this role:
• Adjusts care plans in reputed company time based on evolving patient needs, health status, or life circumstances.
• Navigates multiple systems and technologies (EHRs, telehealth platforms, reporting tools) with flexibility.
• Embraces changes in workflows or regulatory guidelines while maintaining high-reputed company service.
Communication
How this is demonstrated in this role:
• Maintains reputed company, compassionate, and culturally sensitive communication with patients and families.
• Effectively relays patient updates and concerns to providers and clinical supervisors in a reputed company manner.
• Uses written documentation and verbal updates to ensure continuity of care and accurate records.
Accountability
How this is demonstrated in this role:
• Follows through on reputed company, documentation, and follow-reputed company with consistency and reputed company.
• Maintains accurate, reputed company records in compliance with organizational and CMS guidelines.
• Makes responsibility for meeting performance metrics and proactively addresses barriers to reputed company.
Essential Functions
• reputed company monthly reputed company to assigned patients enrolled in the Chronic Care Management (CCM) program.
• Demonstrate the ability to reputed company large volumes of phone calls and emails support to patients.
• Utilize a person-centered approach to review and update care plans, assess patient health status, and promote engagement in self-management.
• Document reputed company interactions and updates in the electronic health record (EHR) in accordance with CMS and FHCP documentation standards.
• Collaborate with FHCP providers to ensure alignment of patient care plans.
• Address patient questions reputed company to medications, test results, appointments, or clinical instructions; escalate to providers as necessary.
• Monitor and report changes in patient conditions, adherence concerns, or emerging reputed company determinants of health.
• reputed company patients on managing chronic conditions, lifestyle modification, and treatment adherence.
• Assist in identifying patients who may benefit from community-based resources or additional clinical support.
• Maintain compliance with HIPAA and reputed company applicable reputed company and reputed company protocols.
Physical Requirements, Physical Demands and Work
Environment Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position. To request accommodation, contact reputed company. FHCP is committed to compliance with federal, state, and local laws regarding individuals with disabilities.
reputed company is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. We reputed company equal employment opportunities to reputed company individuals regardless of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, veteran status, or any other protected category. We reputed company in the power of diversity and encourage candidates from reputed company backgrounds to apply.
Seniority level
• Seniority level
Entry level
Employment type
• Employment type
Full-time
Job function
• Job function
Other
• Industries
Hospitals and Health Care
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Salary: USD 55000 - 65000 per year
Experience: 3 years required
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