π 23 days ago
Coordinates chronic care for patients with complex or high-risk conditions by assessing needs, developing care plans, supporting self-management, and managing follow-up with patients, families, and care teams.
Coordinates chronic care for patients with complex or high-risk conditions by assessing needs, developing care plans, supporting self-management, and managing follow-up with patients, families, and care teams.
Coordinate chronic care for patients with complex medical needs in a skilled nursing facility, partnering with patients, families, and providers on assessments, care plans, transitions, and follow-up.
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