CCM / RPM

Job description

The clinical services program provides 24/7 support for patients, providing peace of mind for patients & families. Examples include: Chronic Care Management & Remote Patient Monitoring

 

Job Requirements:

  • Understanding the product completely and guiding the patient, Caregivers about the product
  • Troubleshooting the product and guiding the patient on questions
  • Logistic Management and Chat support.
  • Remote Patient Monitoring devices & alerting.
  • Plan of care coordination with PCP
  • Proactively identify home-based interventions
  • 24/7 Triage and Clinical Decision support by phone or Video.
  • Perform direct care management and remote patient monitoring service as needed.
  • Provide medical direction and administration including, but not limited to, developing and overseeing the implementation of clinical practice guidelines and delivery of clinical services.
  • The technology platform enables virtual connection to get eyes on members for telemedicine visits, group activity, and other video-based uses.
  • Digital Health Check-ins from patients & in-home caregivers.
  • Targeted messaging & educational content
  • Integrated video visits.
  • Create strong relationships with clinical and non-clinical team members

 

Professional Attributes:

  • Good Written and communication skills. Should have the experience interacting with US customers
  • Current knowledge of non-complex and complex chronic care management, and population health best practices.
  • The remote patient monitoring program experience is also desired.

 

Technical Experience:

  • Pre-visit planning workflow to ensure care completion prior to visit whenever possible
  • After visit summary review with patients whenever appropriate
  • Involving the patients in activities to improve their health (patient engagement)
  • Educating the patient about self-management tasks they can undertake to gain greater control of their health status
  • Works with IT resources to facilitate registry reporting at the site & documentation
  • Works with physician leadership to define quality measure/outcome reporting process
  • Works with physician leadership to develop protocols and point of care reminders using nationally recognized measure/outcomes
  • Serves as a resource to clinical staff and providers to establish quality goals using reports
  • Maintains strict confidentiality and follow HIPPA regulations
  • Treats staff, physicians, NPs/PAs, visitors, patients, and families with dignity and respect
  • Participates in professional development activities
  • Performs other related work as required.
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