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<p class="MsoNormal">Hi friends,<o:p></o:p></p>
<p class="MsoNormal">I’m passing this information along to the listserv on behalf of a former a colleague, Dr. Brian Martin. Please address any inquiries about the position to him directly at
<a href="mailto:brian.martin@recentiahealth.com">brian.martin@recentiahealth.com</a>.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="Default"><span style="font-size:22.0pt">RECENTIA HEALTH <o:p></o:p></span></p>
<p class="Default"><span style="font-size:22.0pt"> <o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">JOB DESCRIPTION: PATIENT CARE COORDINATOR & HEALTH EDUCATOR
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">RESPONSIBILITIES <o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt">• </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">Contribute towards the success of Recentia’s customers and investors.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Design, implement and execute an outsourced Medicare Care Coordination Management program on behalf of primary care physicians for a Patient Cohort
defined by Medicare Beneficiaries enrolled in the Medicare Fee-For-Service Program (also known as Original Medicare) who are 65 year of age or older and who have two or more chronic conditions that are expected to last at least 12 months or until the death
of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Work with each patient's primary care physician to establish, implement, monitor, and revise a comprehensive care management plan that adheres
to Medicare's Clinical Quality Measures. <o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Provide at least 20 minutes per calendar month of non-face-to-face clinical staff time, under the direction of a physician or other qualified health
care professional, to each patient in the patient cohort as defined above. <o:p>
</o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Manage care transitions between and among health care providers and settings, including referrals to other providers, including providing follow-up:
</span><span style="font-size:11.0pt;font-family:"Courier New"">o </span><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">after an emergency department visit; and
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Courier New"">o </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">after discharges from hospitals, skilled nursing facilities, or other health care facilities.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Coordinate care with home- and community-based clinical service providers.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Work with the patient’s primary care physician to bill for services under CPT code 99490.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ensure that all requirements for reimbursement for services under CPT Code 99490 are met on a monthly basis for each patient.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Care management services may include:
</span><span style="font-size:11.0pt;font-family:"Courier New"">o </span><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">-Systematic assessment of the patient’s medical, functional, and psychosocial needs;
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Courier New"">o </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">-System-based approaches to ensure timely receipt of all recommended preventive care services;
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Courier New"">o </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">-Medication reconciliation with review of adherence and potential interactions; and
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Courier New"">o </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">-Oversight of patient self-management of medications.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">REQUIRED SKILLS <o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.35pt"><span style="font-size:11.0pt">• </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">Excellent understanding of current research findings in health education and promotion and chronic disease management.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.35pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Skilled at linking applied research to practice.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.35pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Understand how to apply proven peer-reviewed methods for chronic disease management to practice.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Excellent patient recruitment and engagement skills.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default" style="page-break-before:always"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Commitment to excellence.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Commitment to intellectual and personal integrity.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Commitment to design without compromise.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Excellent critical thinking and problem solving skills.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Excellent verbal and written communication skills.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Excellent presentation and public speaking skills.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Vision—the ability to think big and clearly articulate Recentia’s vision to different audiences, e.g., patients, consumers, physicians, business
executives and investors. <o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to write effective and concise copy.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to repetitively drive execution of incremental short-term strategies.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to understand disruptive opportunities and effectively communicate these opportunities to Recentia’s team.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to differentiate between good design and exceptional design.
<o:p></o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to assess the effort and likelihood of success across teams.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• Ability to understand the various operating teams, how they work, and the interplay between motivations, processes, mindsets, communication styles, skill sets and corporate
culture. <o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">REQUIRED EXPERIENCE <o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">• </span><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">Experience designing and implementing chronic disease management programs.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT""><o:p> </o:p></span></p>
<p class="Default"><span style="font-size:11.0pt">FORMAL EDUCATION REQUIREMENT <o:p>
</o:p></span></p>
<p class="Default" style="margin-bottom:.45pt"><span style="font-size:11.0pt">• </span>
<span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">MPH or DrPH in health education and promotion from an accredited school of public health; or
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:11.0pt;font-family:"Friz Quadrata OS TT"">• MSW in clinical social work from an accredited school of social work.
<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Laura F. Chisholm, MPH, MA, MCHES<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Injury Prevention Program Manager<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Injury & Violence Prevention Program<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">OREGON HEALTH AUTHORITY<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Desk: 971-673-0987<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Mobile: 503-841-4842<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><a href="mailto:Laura.f.chisholm@state.or.us">Laura.f.chisholm@state.or.us</a><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">www.healthoregon.org<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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