About this role
- Role embedded within the primary care clinic, working directly with patients, clinical and non-clinical teams
- Participates in the identification of a focused clinic patient panel, as defined by the manager of Medical Management
- Supports longitudinal care of the patient with chronic care conditions:
- Communicates with patients, responding to patient questions via patient portal and other modaliti
- Interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, case managers, social workers, and other educators.
- Acts as a clinic resource for the value-based population.
- Works in a less structured, self-directed environment and performs all delegated nursing duties within the scope of a RN license of the applicable state board of nursing.
- Position in this function ensures compliance to contractual and service standards as identified by relevant health insurance plans.
- Adheres to policies, procedures, and regulations to ensure compliance and patient safety.
- Participation in Compliance and required training is a condition of employment.