Care Concierge

Care Concierge / RNAt Home Harmony's Care Concierge Team is made up of experienced RN, LPN and MA staff who are passionate about case management and clinical support for our home based medical and pharmacy practice for aging adults.The Care Concierge / RN works with their medical provider, the patients and their family members/caregivers to provide coordinated case management and medical support from a remote environment - a hybrid workplace of company HQ, home and possible senior living community.Duties and Responsibilities of the Care Concierge / RN:Clinical Support (Remote via phone) Triaging patients over the phoneFacilitating patient scheduling in EMRRecording patient information and data in the EMRManage EMR inbox needsReturn patient calls and provide consistent communication between medical provider, patient, other department leads and external partners.Order, track and post results for provider review of diagnostic testingOrder DMEMonitor remote patient tools such as blood pressure, pulse ox, etc. and contact patients based on clinical criteria for abnormal readingsOther duties as requestedCase Management (Remote via phone) This involves talking on the phone, utilization of computer programs such as EMR and additional systems, and, periodically, time at senior living communities or riding in vehicle to the place of service.Create comprehensive and personalized care plans for enrolled patientsAssists patients in transitions of care including hospital discharges, rehab admissions/discharges, scheduling follow-up appointments, assisting with home health orders and plan of cares, and other patient-specific needsMay be required to complete in-person assessments in order to set up RPM devicesWork with the AHH team of providers and other support staff to provide ongoing chronic care management to full panel of patientsProvide education regarding disease management risk reduction, strategies and tactics.Complete concise, clear, timely documentation in the EMR and supporting software to meet documentation requirements.Promote At Home Harmony's Coordinated Model of Care of Medical and PharmacyJob Requirements5 years' experience in at least one of the following settings: case management, disease management, home health care, hospital or outpatient office settingExperience in Geriatrics, Family Practice, Internal Medicine, Cardiac or Pulmonary with a passion for working with the Geriatric populationCurrent unrestricted VA license/certification, requiredCurrent BLS, required2 years electronic medical record (EMR) experience Athena EMR, preferredKnowledge of chronic care monitoring/management, preferredStrong technology skills use of various systemsStrong, professional oral and written communication skillsOutgoing, adaptable and friendly personalityMotivated and flexible to changing needs of the program, team and work environment, with ability to self-direct in certain prioritization of tasksAbility to efficiently work remotely and continue to meet productivity metricsKnowledge of physician office practice operations, preferredValid drivers license with clean driving recordAbility to lift and carry equipment up to 50 poundsAbility to walk up and down several flights of stairs easilyAt Home HarmonyLaunched in 2022, At Home Harmony is an innovative home-based Medical and Pharmacy practice in Richmond, VA providing exceptional healthcare for aging adults with complex chronic conditions. We are experts in utilizing Medicares comprehensive programming to provide coordinated top-quality care.If you are seeking a meaningful, flexible opportunity in a team-oriented environment, consider a role with us. Bring your ideas, knowledge, passion and dedication to our growing team and together we can make a difference in the lives of our beloved senior population.