Join a collaborative, patient-centered team dedicated to improving outcomes for high‑risk, high‑need populations. In this role, you'll partner closely with primary care providers, patients, and multidisciplinary teams to deliver proactive care management, strengthen care transitions, and support patients in managing chronic conditions. Provide comprehensive care management for high-risk, high-cost, and chronically ill patients. Work hand-in-hand with primary care teams to create individualized action plans through care coordination, patient education, and resource navigation. Collaborate with physicians, families, and interdisciplinary teams across acute care, rehab, skilled nursing, homecare, community settings, and physician practices. Assess, plan, implement, coordinate, and evaluate care options tailored to each patient's needs. Develop evidence-based, collaborative care plans that empower patients to self-manage their conditions. Build strong patient relationships that encourage engagement in healthy behaviors and long-term wellness. Apply creative problem-solving to address complex care coordination challenges and ensure seamless care across the continuum. Promote patient activation and increased participation in self-care activities.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees