The LPN will support Chronic Care Management and Remote Patient Monitoring programs by conducting patient assessments and collaborating with care teams to update care plans. They are responsible for educating patients on disease management and documenting interactions in the EHR while ensuring compliance with CMS guidelines.
The Physician Assistant or Nurse Practitioner will conduct clinical assessments and manage chronic conditions through remote patient monitoring and care planning. They will collaborate with an interdisciplinary team to provide patient education and ensure adherence to treatment goals.
The Clinical Pharmacist will deliver proactive, pharmacist-led clinical care including chronic care management and medication therapy management via telehealth platforms. They will also conduct comprehensive medication reviews, monitor drug therapy, and collaborate with care teams to ensure optimal patient outcomes.
The LPN will support patients in chronic care management and remote patient monitoring programs by providing clinical education and care coordination. They will collaborate with an interdisciplinary team to develop care plans and ensure continuity of care for diverse patient populations.
The pharmacist will deliver virtual clinical services focusing on chronic condition management and medication adherence. Responsibilities include conducting comprehensive medication reviews and collaborating with interdisciplinary teams to optimize patient outcomes.
The role involves managing patients in virtual chronic care and population health programs through telephonic outreach and clinical support. Responsibilities include coordinating care, providing disease management education, and collaborating with multidisciplinary teams to improve patient outcomes.
The pharmacist will perform medication therapy management, medication reconciliation, and provide patient-centered education to support chronic care initiatives. They will collaborate with healthcare providers to optimize treatment plans and ensure accurate documentation of all clinical encounters.
The Nurse Care Manager will deliver comprehensive, patient-centered care management services across multiple states, focusing on chronic disease management and patient education. They will coordinate care with interdisciplinary teams, identify care gaps, and ensure accurate documentation in a technology-enabled environment.
The pharmacist will provide comprehensive Medication Therapy Management services and conduct medication reconciliation for patients across Hawaii. They will collaborate with interdisciplinary teams to optimize medication regimens and support chronic disease management through virtual care.
The Nurse Care Manager will deliver personalized clinical services, conduct patient assessments, and develop individualized care plans for chronic disease management. They will collaborate with multidisciplinary teams to identify care gaps and improve patient outcomes through virtual care tools.
The role involves conducting virtual outreach to patients enrolled in Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs to review care plans and provide education. Key duties include monitoring patient health status via RPM tools, escalating clinical concerns, documenting interactions, and coordinating follow-up care.
The role involves high-volume outbound and inbound patient calls for outreach, scheduling Annual Wellness Visits, and providing professional patient education regarding preventive services. Additionally, the Medical Assistant will perform core clinical support duties remotely, such as medication reconciliation, updating medical histories, and ensuring accurate EHR documentation.
