Chronic Care Coordinator - Marshall Internal Medicine

Job description

Job Responsibilities: Education: Graduate of a school of nursing or medical assisting program. MA candidates must be able to obtain certification. LPN candidates must hold, or be able to obtain, a valid WV license. Experience: Experience in a primary care setting preferred. Internal applicants must call HR at ext. 11653 to determine eligibility before applying. - Assists physicians and other healthcare providers in identification of patients in their panel that may be eligible for services available. Coordinates care by serving as the advocate and resource for the patient. - Supports primary care and sub-specialty co-management with timely communication, follow-up and integration of the patient's chronic care management. Obtains outside records from specialists or other referrals/care settings. - Assists Chronic Care Manager to measure patient outcomes, review case loads, and identify any work flow issues. Works with providers to redesign care processes and improve quality. - Works with patients, care-givers and providers/care team members, specialists, and community-based resources to update and execute the care plan to help patients meet goals outlined in the shared care plan. -...