- Monitor and interpret patient vitals, assessments, and alerts within Welby Health’s platform
- Provide timely, evidence-based guidance and escalate clinically significant findings
- Document patient interactions accurately and completely in accordance with internal protocols and regulatory standards
- Develop, implement, and adjust individualized care plans that address both clinical and social needs
- Coordinate with physicians, specialists, and community resources to close gaps in care
- Serve as a liaison between patients and providers to improve engagement and adherence
- Deliver patient education and coaching via telephone and secure messaging
- Empower patients to manage chronic conditions and build sustainable health habits
- Identify barriers to care and address them through practical, patient-centered solutions
EHR