Conduct in-person visits to assess patient health, educational, and psychosocial needs in homes, hospitals, or during medical appointments.
Develop comprehensive, individualized care plans with patients and a multidisciplinary team to achieve desired goals.
Provide education on managing chronic conditions, medications, and lifestyle changes to patients and families.
Identify and address barriers to care, including social determinants of health, and connect patients to community resources with the help of a remote social worker and community health worker.
Collaborate with healthcare teams, family members, and community physicians for coordinated care.
Monitor and adjust care plans based on patient response, ensuring early intervention for high-risk patients.
Maintain documentation for all care management activities and participate in care coordination meetings.
Engage with local providers and hospitals for outreach and member engagement.
Stay updated on best practices in chronic disease management and provide compassionate follow-up care.
Support patients and families during acute healthcare episodes with coordinated case management.

Benefits:

Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
Short Term Disability Insurance
Term Life Insurance Plan

Community Health Worker (Registered Nurse)