I work for a MCO that is contracted by my state to coordinate care for Medicaid recipients and now Medicare, as we have been given a Waiver to manage Medicare patients as well. I consider myself a Jack of All Trades - hard to describe what I do, except to say "whatever I need to do to see that my patients get the care they need. I am a Diabetes Educator, I perform Medication Reconciliations, I am responsible for Transitional Care of patients discharged from acute care. I accompany patients to medical appointments. I meet with docs to coordinate care. I have assisted a practice in implementing their EMR. I have days when I think I can do anything, and others when I feel I am doing nothing. I even manage a little job on the side sometimes - my current focus is to cut down on the number of unnecessary ER visits my patients accrue. I deal with Child Protective Services, Adult Protective Services, anxious family members , and on a few occasions, the Courts or Police. And this is only the tip of the iceberg. Seems like every day is a new adventure, and it can be exhausting. The thing I like best is that I am pretty much autonomous. My program uses the team approach, so I have dozens of mentors if I need them. My Manager is available any time I need her, but she does not hover. Some days I want to tear my hair out, but I would not trade this job for anything. Oh yeah, as if I'm not already having enough fun, the State has just added Mental Health to our duties. I am overjoyed.