Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes
Job Summary
Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.
Provide care and disease management coordination, identify patients with ongoing coordination needs, and conduct targeted outreach.
Conduct comprehensive clinical assessments that include disease/age-specific, medical, behavioral, pharmacy, social, and end-of-life needs of each patient.
Matching Summary
Work collaboratively with a multidisciplinary care team across the continuum of care for high-risk patients to develop goals, plan interventions and maximize patient outcomes.