Monitor implementation and progress of various projects including, working closely with the Center for Population Health groups and colleagues, Partners entities, Partners IT, eCare, and others as need.
February 09, 2020
Demonstrated ability to effectively communicate verbally and written and interact with all levels in the organization and externally.
February 07, 2020
Participates as a key member of the FHCN health center innovation team in the development, implementation and evaluation of population health, quality and practice transformation strategies.
January 21, 2020
Reviews cases with the providers, nursing and medical assistant staff as needed, seeks expert advice on issues for clients and provides input to providers, nurses and medical assistants on client response.
January 15, 2020
Demonstrates competency in utilizing EHR software relating to patient care, and office equipment to include computer, printers, fax machine, photocopier and telephone system.
January 15, 2020
Develop project related deliverables with minimal to moderate supervision including project plans, PowerPoint presentations, status reports, meeting minutes, issue/risk logs, and meeting facilitation documents.
December 30, 2019
Provides both an administrative and clinical role concentrating on supporting care teams through, clinical data validation, training and education, presenting on quality measures and opportunities for improvement, as well as collaboratively activating health promotion outreach concepts.
December 07, 2019
Works with patients to develop an individualized care plan that includes short and long-term goal setting, with a particular emphasis on social needs, barriers to care, behavioral health support, medication management, and chronic disease self-management.
November 09, 2019
Collaborates closely with primary care offices throughout Jefferson to apply the PCMH model, in order to improve care coordination, in accordance with appropriate quality improvement (Lean, Change Agent, etc.
November 08, 2019
Completes non-clinical surveys and education to assigned participants and engages them into programs, completes non-clinical interventions to meet member needs and identifies and refers candidates who require complex interventions to other programs/resources utilizing established criteria and documentation processes.
November 06, 2019