Serves as a care coordinator and educator to an assigned panel of patients within a member participant community, providing relevant and actionable information regarding each assigned patient's health conditions, self-management, independent living, and activities of daily living; coaching each assisted patient to better his/her communication with physicians and other healthcare and social service providers (including addressing language and cultural barriers to effective communication;) and coordinating information and facilitating communication between primary care and specialty providers. Completes all required elements of CMS' Chronic Care Management program including medication reconciliation and nursing assessment, regular patient communication, documentation and provider reporting.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed