RN Trans. Care Associate

UF HealthJacksonville, FL
Onsite

About The Position

Under the supervision of the Care Coordinator Manager/Supervisor, Primary Care performs tasks and patient contact to assist in the coordination of patient primary care services. Services include obtaining and running reports to assist with review and resolution of care gaps.

Requirements

  • 1 year - Ambulatory primary care setting - required
  • Associates - Nursing - required
  • Registered Nurse (RN) - Florida Licensure - required - at time of hire

Nice To Haves

  • 2 years - Ambulatory primary care setting - preferred
  • Bachelors - Nursing - preferred
  • 5 YEARS OF RELEVANT WORK EXPERIENCE REQUIRED

Responsibilities

  • Reviews monthly Care Gap data from the Managed Care Department for Family Medicine and General Medicine clinics.
  • Performs Transitional Care Management, (TCM) non face-to- face patient visits per policy and procedure.
  • Contacts insurance Case Managers under the direction of the Care Coordinator Manager/Supervisor, and implements plans to follow up with patients, or to include phone calls, video discussions to assist in preventing or reducing ED visits.
  • Reviews Healthy Planet Performance of each clinic monthly and identifies measures that require improvement and communicates to Care Coordinator Manager/Supervisor.
  • Maintain a positive customer service oriented disposition toward all clients and co-workers. Provide excellent customer service with internal and external customers.
  • Prepares and maintains all clerical aspects of the medical records through established guidelines.
  • Performs all other duties as assigned by management within job scope.
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