care_manager

Care / case manager (nurse case manager, public health nurse)

Responsibilities	keeps lists (panels) of the patients they manage, by provider, condition or criteria works the flags on those patients (abnormal labs, ER visits, admissions) tracks the care-management events each patient is due (CMET) keeps the disease registers current reviews their patients' national measures
Goals	no patient on their list falls through: every flag worked, every due event done, every gap in the measures closed
Context	population-first, not visit-first; works across many patients at once, from a list, often between clinics and with a second case manager sharing the same list.
Surface today	iCare (BMX; IRIS stacks only)
Workflows	W15, W20
Persona user	to define; PROV123 holds iCare's context (BQIRPC) on IRIS stack 0929 (cloud-rpms#88)

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