Wellness Coordinator - Cooper University Health Care : Job Details

Support and participates in the Patient-centered Medical Home (PCMH) concepts of team- based care. Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum. - Delivering direct patient care in primary care office - Perform Nurse Triage for patients calling the office - Perform all direct patient care within the scope of an RN - Participate in PCMH activities which include but are not limited to: hospital discharge follow-up, care planning, coordination of services, and communication between care providers - Collaborate with patient's medical/health and community-based providers to establish mutual goal-setting including patients and their families/caregivers, utilizing self-management tools. - Provide outreach, care management and education for disease self-management per patient centered goals. - Identify, document, and mitigate...Wellness, Coordinator, Healthcare, Patient Care, Management, RN