The role facilitates coordination of care for patients with complex medical, behavioral, and social issues to maximize wellness and cost effectiveness
Job Summary
The role facilitates coordination of care for patients with complex medical, behavioral, and social issues to maximize wellness and cost effectiveness.
Responsibilities include identifying eligible patients, assessing health status, and developing individualized care plans across the healthcare continuum.
The position requires providing hospital discharge follow-up and education to patients while documenting clinical and financial outcomes.
Matching Summary
The role facilitates coordination of care for patients with complex medical, behavioral, and social issues to maximize wellness and cost effectiveness.