Population Health Coordinator at MD at Home | Torre

Population Health Coordinator

You'll elevate health equity and reduce disparities by delivering comprehensive home-based primary care.
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Full-time

Legal agreement: Employment

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Remote (for Argentina residents)
Remote (for Bolivia residents)
Remote (for Brazil residents)
Remote (for Chile residents)
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Shared by
Diana Montoya
about 2 months ago

Requirements and responsibilities


Responsibilities include serving as the primary clinical contact for an assigned patient panel, managing patient cases within the EMR (AthenaHealth preferred), conducting monthly chronic care follow-ups and symptom assessments, evaluating patient concerns and determining appropriate next steps, coordinating urgent visits, provider appointments, and referrals, tracking medications, lab results, and outstanding care needs, educating patients on care plans, refills, and condition management, collaborating closely with providers to support quality care standards, and assisting in meeting and exceeding Medicare quality metrics.
Optionally, you can add more information later (benefits, pre-screening questions, etc.)
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