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Complex Care Coordinator (RN), Full Time Days, Corporate Headquarters
Job Description Support Atlantic Health TEAM bundled payment program in identifying, tracking and follow up for the AH TEAM patient population: Open episodes, assign TEAM clinicians, flag and chart review to complete TEAM checklist in the episode. Follow up calls and documentation in Epic. Medication reconciliation, ensuring follow up, wound evaluation, edema management, pain management etc. Follow up with provider as needed. Schedule additional follow up calls as needed over the course of a 30-day episode. Communicate with external post-acute facilities to trac
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