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The mission of the Transitional Care Coordination Program is to ensure intensive coordinated outpatient care for patients with complex chronic health problems that leave them medically vulnerable. Our vision is to address our patients needs holistically; to improve health and wellbeing through coordinated medical services with emphasis on the social determinants that affect health such as housing food and transportation.
We do this by providing coordination and support for complex vulnerable patients whose chronic health conditions and psychosocial challenges place them at high risk for repeated hospital admission or frequent returns to the emergency room. We provide comprehensive post hospital care coordination via telephone outreach community visits and inhome visits as needed to ensure patient is supported in their health care needs/goals after they return to the community.
Qualifications :
Additional Information :
Pay Range: $55.42 $71.88
Remote Work :
No
Employment Type :
Fulltime
Full-time