We are seeking a Comprehensive Primary Care Coordinator to join our team! You will be responsible for the identification of high risk patients,assessing chronic care ambulatory patients for achievement of health goals, and healthcare gap analysis. You will be an integral member of our care team.
Responsibilities:
Coordinate patient panels;identifying care gaps
Establish patient treatment plans
Monitor and report progress in care goal achievement
Communicate with primary physicians and specialists regarding patient care
Educate patients about health maintenance and disease prevention
Facilitate referrals to other healthcare professionals and medical facilities
Maintain and update reports of population health data
Collaborate directly with medical director and designated administrative team
Qualifications:
Clinical nursing experience in primary care/ambulatory care setting(RN)
Quality review /Care coordination experience
Computer skills including Excel
Ability to master electronic health record
Strong problem solving and critical thinking skills
Detail oriented and goal driven
Ability to thrive in a fast-paced environment
Job Type: Full-time
Experience:
- care management: 5 years (Required)
License: