Related skills
outreach care coordination ehr rn population healthπ Description
- Targeted patient outreach to close care gaps and support transitions.
- High-touch engagement for high-risk patients: post-discharge follow-up.
- Document interventions and med reconciliation across multiple EHRs.
- Educate patients and assess eligibility for programs with empathy.
- Collaborate with practices to support TCM, OMW, ED follow-ups.
- Meet and sustain performance metrics; other duties as assigned.
π― Requirements
- BSN with active, unrestricted RN license (CompactRN preferred)
- 2+ years in case management or discharge planning
- Telephonic outreach and clinical assessments experience
- Strong communication and interpersonal skills
- Experience with EHRs and population health tools
- Independent and interdisciplinary teamwork ability
π Benefits
- Flexible remote work schedules
- Health, dental and vision insurance
- 21 days PTO in first year
- Two volunteer days and 11 paid holidays
- 12 weeks parental leave
- 401(k) with up to 4% match and stock options
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