- Provide direct care via telemedicine to patients suffering from advanced chronic lung and heart disease.
- Perform telemedicine visits with patients, including intake H&P and follow-up care.
- Serve as the provider of record and maintain a sizable active panel of patients.
- Assess, diagnose, and treat adult outpatients with multiple chronic medical conditions, with an emphasis on lung disease.
- Coordinate care with primary care providers, specialists, and external care agencies.
- Advocate for patients who are experiencing major social stressors by activating community resources.
- Serve as the continuous point of contact for patients and families across the entire care spectrum.
- Engage with the interdisciplinary team to continuously optimize patient care.
- Promote the program and answer questions from referring providers and practices.