At Home Harmonys Care Concierge Team is made up of experienced RN LPN and MA staff who are passionateabout 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 memberscaregiversto provide coordinated case management and medical support from anOfficeRemoteenvironment -ahybridworkplace of company HQ and personal home residence.Duties and Responsibilities of the Care ConciergeClinical Support Remote via phoneTriaging 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 medicalprovider patient other department leads and external partners.Order track and post results for provider review of diagnostictestingOrder DMEMonitor remote patient tools such as blood pressure pulse ox etc. andcontact patients based on clinical criteria for abnormal readingsOther duties as requestedCase Management Remote via phoneThis involves talking on the phone utilization of computer programs suchas EMR and additional systems and periodically time at senior living communities or riding invehicle to the place of service.Create comprehensive and personalized care plans for enrolledpatientsAssist patients in transitions of care including hospital discharges rehabadmissionsdischarges scheduling follow-up appointments assisting with home health orders and planof care and other patient-specific needsMay be required to complete in-person assessments to set up RPMdevicesWork with the AHH team of providers and other support staff to provide ongoingchronic care management to full panel of patientsProvide education regarding disease management risk reduction strategies andtactics.Complete concise clear timely documentation in the EMR and supporting software tomeet documentation requirements.Promote At Home Harmonys Coordinated Model of Care of Medical and PharmacyJob Requirements5 years experience in at least one of the following settings case managementdisease management home health care hospital or outpatient office settingExperience in Geriatrics Family Practice Internal Medicine Cardiac or Pulmonarywith a passion for working with the Geriatric populationCurrent unrestricted VA licensecertification requiredCurrent BLS required2 years electronic medical record EMR experience Athena EMR preferredKnowledge of chronic care monitoringmanagement preferredStrong technology skills use of various systemsStrong professional oral and written communication skillsOutgoing adaptable and friendly personalityMotivated and flexible in changing needs of the program team and work environmentwith ability to self-direct in certain prioritization of tasksAbility to efficiently work remotely and continue to meet productivitymetricsKnowledge 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 RichmondVA providing exceptional healthcare for aging adults with complex chronic conditions. We are experts in utilizingMedicares comprehensive programming to provide coordinated top-quality care.If you are seeking a meaningful flexible opportunity in a team-oriented environment consider a role withus. Bring your ideas knowledge passion and dedication to our growing team and together we can make a difference inthe lives of our beloved senior population.Apply Now