Clinical Care Specialist

Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.

Maintain, monitor, and manage your own patient census across multiple facilities to: Coordinate the implementation of Chronic Care Management (CCM) services amongst chronically ill patients residing in long term care facilities Create individualized Care Plans for patients with chronic conditions. Responsible for updating and tracking monthly Responsible for monitoring labs, vitals, medications, and testing for patient census. Conduct care coordination with patients, their care team, and their families (this is done through email, text, and phone communication) Provide patient education on management of chronic conditions, medications, and testing Constant communication and coordination with members of the care team such as physicians, physician assistants, nurse practitioners, pharmacists, and other health care professionals Assess, identify, and close clinical and non-clinical gaps in patient care Provider and CCS team training and support