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Organizational Goals

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Pneumonia Post-Discharge Recovery Support

Support pneumonia recovery, ensure antibiotic adherence, monitor symptoms, review inhaler use, provide prevention and vaccination advice.
Readmission Prevention

Flood Preparedness Outreach

Provide flood safety tips, evacuation planning, and emergency contact resources.
Rapid Response

Annual Wellness Visit Outreach and Support

Identify eligibility, schedule Annual Wellness Visits, perform intake, and address barriers such as SDOH challenges for patient access.
Quality Improvement

Flu Vaccination (FVA)

Run seasonal campaigns to remind and schedule patients for flu vaccination appointments.
Quality Improvement

Colorectal Cancer Screening (COL)

Outreach to patients for FIT or colonoscopy, assist scheduling, and increase timely return rates.
Quality Improvement

Patient Intake History

Collect patient’s med list, allergies, symptoms, and visit reason before appointment.
More Time For Care

Appointment Scheduling

Assist patients with scheduling, confirming details, and completing pre-visit paperwork.
Inbound Access Point

Pernicious Anemia Management Call

Discuss pernicious anemia diagnosis, treatment options, and ongoing management strategies.
Care Management
Care Management

Lower Extremity Joint Replacement Discharge Call

Conduct medication review and care coordination following joint replacement discharge.
CMS TEAMS

RWE Longitudinal Patient Follow-Up

Collect updates on medical history, AEs, and PROs per protocol to support study integrity.
RWE/ePRO

Joint Replacement Post-Surgical Recovery Support

Support joint replacement patients by reviewing mobility progress, pain management, therapy compliance, and complication prevention.
Access Growth

Mammogram Screening Completion Outreach

Encourage patients to complete mammogram screening, emphasize prevention, assist with scheduling, and answer questions.
Access Growth

Patient Assistance Program Outreach

Confirm eligibility, explain program benefits, and guide members through enrollment steps.
Patient Access

Program Enrollment Support

Confirm eligibility, explain program benefits, and collect details for enrollment process.
MedInfo/Call Center

Adverse Event Detection Support

Document adverse events, collect reporter/patient details, and escalate for safety review.
MedInfo/Call Center

Study Coordinator and Nurse Support

Provide trial guidance, answer protocol questions, and escalate to PI when necessary.
Interventional Clinical Trials

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