The PCMH program was a great program to assist patients in home and at the doctors office. I gained knowledge in case management with 50 patients ever month. Typically, I would begin my day, calling my patients to confirm doctors appts and the time for us to meet face to face, I will check emails, respond, attend meetings online and go to the office for supplies, fax reports and or send out mail for doctors offices and mailings. I would then spend the majority of my day traveling to doctors, meeting with patients, obtaining consents. Then, I would have to make phone encounters throughout the evening and diligently write care plans for the doctors. Into late hours of the evening, I then would go through the list of potential patients so that I can plan my phone calls, office visits and to have an inservice with the doctors, I worked with 30-40 doctors. The most enjoyable part of my job was meeting with patients, assisting them with better controlling the diseases, preventing them from readmissions to hospitals, obtaining home referrals for nursing, best doctors, magellan, physical, occupational, speech therapy, social work consult and pharmacy assistance for my patients. The hardest part of my job was that there was no turn off in hours, I had to meet with patients, or call patients whenever they were available and convince them to take care of their health over the phone.
Worked all hours of the day night weekend and holiday