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Registered Nurse (RN) Ambulatory Care Coordinator
Job DescriptionPopulation Health1. Facilitates patient care services by managing and individualizing care for patients and their families.2. Identifies patients overdue for visits, labs, or referrals and arranging for follow up services as appropriate.3. Identifies patients not meeting clinical goals, (for example: BP control or glucose control, anticoagulant therapy) and arranging for follow-up services by protocol or as appropriate.4. Creating patient, physician, and clinic level quality performance reports.5. Conducts pre-visit chart review of patients including a. Identification of all needed preventive health maintenance, immunizations, and chronic disease in


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