Rn Care Manager
CurrentI currently work in a family practice residency clinic. I work with the providers and their patients in managing their healthcare needs. I provide transitional care management (TCM) for patients being discharged from the hospital. I follow-up with our sickest patients on a monthly basis as part of the Medicare chronic care management (CCM) program. I triage both in clinic and over the phone as well as meeting with our patients for education purposes such as nutrition or diabetes management.