- Atrius Health (Wellesley, MA)
- …to meet Atrius quality goals by facilitating both routine preventative care and ongoing chronic disease management for primary care patients. Works in a ... to interact with patients and clinicians about preventative health and chronic disease management . _EDUCATION/LICENSES/CERTIFICATIONS_ High School diploma… more
- Commonwealth Care Alliance (Boston, MA)
- …functions as a key part of the primary care team through health maintenance and chronic disease management , care coordination, and triage within the RN scope ... appointments. + Provide telephonic education to patient and family regarding chronic disease management and follow-up, preventive health maintenance. +… more
- CenterWell (Boston, MA)
- …of productivity targets and outcome measures, with a particular emphasis on chronic disease management . Through effective collaboration with ... regulatory agencies and organizational policies. + Facilitate post-discharge medication reconciliation, chronic disease management and patient education. +… more
- Commonwealth Care Alliance (Springfield, MA)
- …of assigned patients by impacting acute care utilization, ensuring optimal treatment for chronic disease management , closing of quality gaps, goals of ... avoidance and readmission reduction. Additionally, the APC will provide ongoing chronic disease management , urgent visits, promote preventative care and… more
- CenterWell (Boston, MA)
- …Zone hours 8-5pm and have an unrestricted and active practicing pharmacist Fl license. Chronic Disease Management experience and averaging 10 patients per ... proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management , screenings, minor injury treatment and more.… more
- Cambridge Health Alliance (Cambridge, MA)
- …health and wellness of our participants. The Registered Dietitian plays a key role in chronic disease management and works collaboratively with the care team ... participants * Provide nutrition counseling to support healthy eating habits and chronic disease management * Collaborate with the interdisciplinary team to… more
- Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
- …managing care for vulnerable patients, ensuring optimal care including acute illness and chronic disease management , lifestyle and behavior education, and ... Clinical Care Manager (CCM) provides, coordinates, and organizes evidence-based care management to chronic disease patients, especially to those who are most… more
- Beth Israel Lahey Health (Cambridge, MA)
- …of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general ... care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. (essential) 4. Responsible for INR … more
- Beth Israel Lahey Health (Needham, MA)
- …of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general ... care role.- Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. Responsible for INR management … more
- Beth Israel Lahey Health (Jamaica Plain, MA)
- …of care. Collaborates with providers to identify needs for preventive care, evidence-based chronic disease management and care coordination. Provides general ... care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. Responsible for INR management … more
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