- Conduct monthly Chronic Care Management (CCM) calls to assess patient health status and provide education.
- Perform medication reconciliations and identify barriers to care adherence.
- Assist with health risk assessments, remote patient monitoring, and transitional care management activities.
- Accurately document all patient interactions within Electronic Health Record (EHR) systems.
- Collaborate with providers and clinic staff to support patient care plans.
- Connect patients with appropriate community resources and support services.
- Maintain HIPAA compliance and patient confidentiality at all times.
- Manage schedules and patient communication independently while maintaining productivity goals.
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