Vacancy caducado!
Chronic Care Navigator
Location: Grand Junction, CO
Role is in-person with possible remote work after established tenure
Primary Care Partners of Grand Junction, Colorado is hiring for a Chronic Care Navigator. The Chronic Care Navigator is a medical assistant who supports the development of patient-centered, team-based care. S/he will support primary care physicians (PCPs) in managing their panel of patients using a population management informatics tool. By gathering and organizing patient data, the Chronic Care Navigator works to identify patients’ unmet needs, engage patients in their own care using AI and digital tools, gather summary information for treatment interventions, and enhance ongoing communication between the patient and her/his care team. The goal of the Chronic Care Navigator program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment.
Role Description:
Coordinates case management activities relating to chronically ill patients across the continuum of care including: community resources, consultant referrals, home care, medication adherence, support biometric health monitoring, and quality gap closure. Interacts with patients using state of the art digital technology and streamlined patient communication tools.
KEY AREAS OF RESPONSIBILITY:
Develops a keen understanding of primary care practice requirements for optimal, coordinated population health
Works as an effective team member of the care team
Works an AI Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
Care plan development using AI and Digital tools to develop a plan of care
Facilitate the patient’s appropriate condition management and optimize wellness and medical outcomes using AI tool.
Monitor patient progress toward desired outcomes through AI assessment and evaluation.
Contributes to quality improvement and care redesign of population health efforts
And other duties as assigned
QUALIFICATIONS
Medical Assistant with current certification
Significant experience within a primary care setting with quality/population health experience in lieu of certification will be considered.
Experience with Chronic Care patients and care plans highly preferred .
Interested parties can click the link below to apply or email staffing at jaanhealth dot com
https://phamily.applytojob.com/apply/kP7iSdYQ0S/Chronic-Care-Manager?source=CRAG
Vacancy caducado!