- WellSense (MA)
- …and care team to develop patient-centered care plan, with particular focus on chronic disease management , social determinants, transitions of care and ... members, no matter their circumstances. **Job Summary:** The Manager of Care Management -Pediatric Complex Care is responsible for the daily operations of the Special… 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
- Commonwealth Care Alliance (Boston, MA)
- …of medical appointments * Oversite of education to patients and caregivers regarding chronic disease management and follow-up, preventive health maintenance. ... and follow up with skilled services like VNA on new/routine orders and chronic disease management . * Work closely with other management team… 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. (essential) d. Responsible for INR … more
- Beth Israel Lahey Health (Watertown, 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 (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
- East Boston Neighborhood Health Center (MA)
- …+ Significant interest and the ability to work within the context of the Chronic Disease Management Model, including patient self- management goal ... functions to promote health and wellness and contributes to the management of chronic health conditions in accordance with evidence-based guidelines for medical… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …clinical role to the care team with primary responsibilities of HIV and other chronic disease management , care coordination, advice/triage needs for the ... and identify barriers to medication adherence and engagement in care. + Provides chronic disease management support for HIV as well as other common co-morbid… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …of disease processes and provides patient education on subjects including medication management , chronic disease management and general health ... Nurse Manager, Site Manager, etc.) + Assist patients with management of medications and understanding of disease ...with management of medications and understanding of disease processes. + Respond to medical emergencies within the… more