Work with a patient in the creation of a care plan, or in review and update if there is an existing care plan. Daily monitoring of Group NextGen clinical task inbox and Group voicemail to ensure messages/tasks are retrieved and addressed. Use a variety of education materials, brief intervention techniques, and community resources to engage patients, increase their motivation to change, and support patients in establishing behavior change goals and implementing plans to meet those goals. Establish a follow-up schedule and monitor patient's progress, using an electronic care management tracking system. Maintain accurate and up-to-date records and standardize data on all patients. Clearly and effectively communicate with the patient, PCP, and any external providers, including informing the PCP about the patient's progress; discussing the care plan with the PCP and other care team members as needed; and discussing changes in the care plan. Other duties as assigned.
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Job Type
Full-time
Industry
Ambulatory Health Care Services
Education Level
No Education Listed
Number of Employees
11-50 employees