Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

Locate, outreach and engage members within the community that clinicians and care navigators have not been able to reach; create a positive experience and relationship with the member Assesses functional and social needs of members and collaborates to develop and implement solutions with the frequency established in the model of care Work collaboratively the multidiscipli

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

Provide care that is compassionate, appropriate, and effective for the treatment of neurological care related health problems Compliance with all coding and documentation requirements Practice evidence based medicine Outpatient and light inpatient rotation mix Practices in accordance with the respective state laws and regulations governing the practice of advanced practic

By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays Review targets for Length o

This position will support the TeamMD home based primary care practice Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care Identify gaps in care, interpret diagnostic test and reports and refer appropriately Identify risk factors and help mitigate barriers to access care and

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

This position will support the TeamMD home based primary care practice Obtain and review medical history, conduct physical and psychosocial assessments, analyze and diagnose conditions and develop appropriate plan of care Identify gaps in care, interpret diagnostic test and reports and refer appropriately Identify risk factors and help mitigate barriers to access care and

Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable Performs an initi

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

Assist the provider / team with various care coordination activities in the nursing home Assist the provider / team with benefit determination associated with Medicare part A, part B, and part D benefits Collaborating with the primary Advanced Practice Clinician, (APC) and nursing facility to identify and respond to patient Change in Condition May assist the provider by c

Schedule appointments, complete prior authorizations, process medication refills, handle referrals and answer patient calls as needed Perform Clinical Intake with patients to include taking and recording vital signs and patient history Assist patients as needed with walking, transfer, specimen collection, exam preparation, etc. Maintain clinical supplies and equipment and

Answers all calls by greeting patients appropriately and listening actively for patient issue. Follow protocols as written for correctly recording and delivering messages. Provide patients with information on expected outcome of call. Verify patient information and record all call information within the EMR as per written protocols. Schedule or cancel appointments as per

Answers all calls by greeting patients appropriately and listening actively for patient issue. Follow protocols as written for correctly recording and delivering messages. Provide patients with information on expected outcome of call. Verify patient information and record all call information within the EMR as per written protocols. Schedule or cancel appointments as per