Overview Job Duties Under the supervision of Value Based Care Manager/Supervisor, Director performs tasks and patient contact to assist in the coordination of patient primary care services. Services include obtaining and running reports to assist with review and resolution of care gaps. Responsibilities Essential Functions • Reviews monthly Care Gap data from the Managed Care Department for Family Medicine and General Medicine clinics. Completes virtual subsequent annual wellness visits for assigned centers. • Performs Transitional Care Management, (TCM) non-face-to-face patient visits and oversees chronic care management program per policy and procedure. • Contacts insurance Case Managers under the direction of the Value Based Care Manager/Supervisor, and implements plans to follow up with patients, or to include phone calls, video discussions to assist in preventing or reducing ED visits. • Reviews Healthy Planet Performance of assigned centers monthly and identifies measures that require improvement. Communicate barriers or concerning findings to Value Based Care Manager/Supervisor. • Maintain a positive customer service-oriented disposition toward all clients and co-workers. Provide excellent customer service with internal and external customers. • Prepares and maintains all clerical aspects of the medical records through established guidelines. • Performs all other duties as assigned by management within job scope. • Additional Duties as assigned may vary. Qualifications Experience Requirements 1-year Ambulatory primary care setting required 2-years Ambulatory primary care setting preferred 5-years of relevant work experience required Education Requirements High School Diploma or GED required Licensed Practical Nurse required Associates preferred Licensed Practical Nurse (LPN) required at time of hire Basic Life Support (BLS) required at time of hire UFJPI is an Equal Opportunity Employer and Drug Free Workplace