Essential Job Functions:
- Achievement of Clinical Objectives
- Reviews status of participant’s preventive health exams as defined by the disease-specific Standards of Care guidelines. Initiate appropriate interventions for member.
- Contacts participant by telephone as needed for information sharing, assessment, intervention, and behavioral goal setting.
- Identifies educational needs of participant and facilitate educational opportunities (i.e., mails patient education materials; refer to health plan if appropriate).
- Reviews participant’s functional status, formal and informal family support system, determining participant’s desired outcome of care and needs for participant education.
- Develops and facilitates implementation of a care plan addressing the total healthcare needs of the participants. Specific focus and resources will be directed to the specific problem resulting in the appropriate stratification level.
- Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or other members of the disease management program team when available to remove system barriers.
- Functions as integral part of the multi-disciplinary team. Facilitates communication exchange with primary managing physician and other providers, health plan, and the disease management program team.
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$21.96 (as of July 26, 2024 13:33 GMT -05:00 - More infoProduct prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on [relevant Amazon Site(s), as applicable] at the time of purchase will apply to the purchase of this product.)
