Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care primarily in their home. Our Program is offered to eligible patients at no incremental financial cost. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. Our clinical teams spend quality time caring for a smaller number of high-risk patients, granting patients the respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, Care Coordinators and other team members.
The is responsible, as part of the Market Leadership and care teams, for the overall patient Care Management process. The position reports to the Health Services Director and provides oversight, guidance and support for the processes related to the development, implementation and outcomes of member care plan as developed by members of the clinical care team.
This role provides support for the day to day operations including scheduling, outreach, and assignments. In collaboration with the Health Services Director, this role is one of the primary contacts for health plan referrals, inpatient notifications, interdisciplinary team and care coordination. The position is a system super user and is involved with training and oversight of the new hires and ongoing staff.
The , as part of the leadership team, facilitates relationships in the community with providers, health plans, vendors, facilities and community organizations.