Nephrology Associates of Central Fl

Phamily Staffing - External Care Manager Roles•Winter Park, FL

1d•$20 - $22•Onsite

About The Position

Phamily-JaanHealth is helping to place a Chronic Care Coordinator for our client in Winter Park, FL. This individual will work internally for our client, Nephrology Associates of Central Florida (NACF), using the Phamily platform. Phamily is a Chronic Care Platform. The Chronic Care Navigator is a Certified Medical Assistant who supports the development of patient- centered, team-based care. The Navigator will support the Nephrologists and Nephrology Associates of Central Florida in managing their panel of patients using the Phamily platform. By gathering and organizing patient data, the Chronic Care Navigator works to identify patients unmet needs, engage patients in their own care, gather summary information for treatment interventions, and enhance ongoing communication between the patient and her/his care team.The goal of the Chronic Care Management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment.

Requirements

Proven problem-solver with ability to multitask.
Excellent communication skills, both written and spoken.

Nice To Haves

Bilingual in English and Spanish preferred.
Prior use of EHR/EMR systems highly desirable.
Medical Assistant Certification preferred.
Nephrology experience beneficial.

Responsibilities

Develop a keen understanding of primary care practice requirements for optimal, coordinated population health
Work as an effective team member of the care team
Collaborate with care teams to establish population-appropriate, pre-visit, and point of care processes
Work with the Phamily Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
Contribute to quality improvement and care redesign of population health efforts
Manage patient registries
provide the members of health care teams in designated practices with the data required to meet the health needs of the patient
Support practice staff to develop interventions to proactively manage target populations
Contribute to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary
Recognize and report data inconsistencies to appropriate personnel
Contribute to the teamwork within and between departments.
Regularly attend and participate in meetings with coworkers and practice staff.
Perform all job functions in compliance with applicable federal, state, local and company policies and procedures
Provide data to the care teams to properly perform these processes
Monitor and correct patient attribution to the practice and the care teams within the practice
Other duties as assigned