• Care Coordinator I

    Sea Mar Community Health Centers (Everson, WA)
    …according to the Quality Improvement Plan. + Train new clinic staff on the Chronic Care Model and Patient-Centered Medical Home. Other duties assigned as needed. ... The Care Coordinator I is responsible for the coordination of care for patients with chronic conditions and behavioral health needs at point of care . As… more
    Sea Mar Community Health Centers (11/10/25)
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  • Outpatient Registered Nurse Care Manager,…

    St. Luke's University Health Network (Allentown, PA)
    … for patients not on the schedule so as to offer complete preventive and/or chronic care for all St. Luke's Physician Group patients. JOB DUTIES AND ... members in implementing processes for best practices in preventive services, chronic care and disease management. + Utilizes electronic health record, chronic more
    St. Luke's University Health Network (11/01/25)
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  • Team Nurse - Primary Care

    Beth Israel Lahey Health (Needham, MA)
    care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. (essential) 5. Responsible for ... with both general and focused health education for preventive, chronic and episodic health care issues. Assumes...education for preventive, chronic and episodic health care issues. Assumes responsibility, in collaboration with primary … more
    Beth Israel Lahey Health (10/30/25)
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  • Registered Nurse (RN) Care Manager

    Whitney Young Health Center (Albany, NY)
    …+ Utilize evidence based practice standards, PCMH guidelines, and knowledge of chronic health conditions to identify patient for care coordination services. ... of the health care team based on evidence-based best practice for chronic condition management. + Creates a patient-centered care plan that addresses… more
    Whitney Young Health Center (11/15/25)
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  • Medical Assistant Care Coordinator

    HCA Healthcare (Salt Lake City, UT)
    …electronic medical record** + **Identify and enroll eligible patients in longitudinal or chronic care management for medical or behavioral health conditions** + ... gaps as needed** **Population Health:** + **Schedule appointments related to preventive care , chronic disease management, and/or integrated behavioral health** +… more
    HCA Healthcare (12/03/25)
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  • Physician - General Internal Medicine - Rush…

    Rush University Medical Center (Chicago, IL)
    …physician leadership. + **Proactive Population Management** Includes direct oversight of chronic care management (CCM), remote patient monitoring (RPM), ... during both virtual and in-person days, including new and follow-up visits, chronic condition management, preventive care , and diagnostic coordination. + Guide… more
    Rush University Medical Center (11/26/25)
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  • Care Transitions Nurse Navigator - Full…

    Guthrie (Big Flats, NY)
    …Coordination + Act as a point of contact for patients enrolled in the Chronic Care Management program. + Triage patient questions/concerns, and coordinate ... in nursing practice. Preferred experience in an emergency or acute care setting, chronic disease management or care transitions. Education Graduate from… more
    Guthrie (11/21/25)
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  • Advanced Practice Provider Palliative Care

    UTMB Health (Galveston, TX)
    …emotional capabilities. + Monitors treatment progress and protocols of patients in chronic care clinical settings; counsels patients on preventive medicine ... + Monitors treatment progress and protocols of patients in chronic care clinical settings; counsels patients on preventive medicine regimens; reviews… more
    UTMB Health (11/13/25)
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  • Physician - Primary Care (Troy)

    Whitney Young Health Center (Troy, NY)
    …development and implementation of practice standards. + Actively support the implementation of the Chronic Care Model to manage patient with chronic illness. ... Physician - Primary Care (Troy) (Req 100982) Troy, NY (http://maps.google.com/maps?q=849+Second+Ave+Troy+NY+USA+12182) Apply Description Be a part of the mission at… more
    Whitney Young Health Center (11/12/25)
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  • Certified Nursing Assistant Long Term Care

    Corewell Health (Farmington Hills, MI)
    …a well-rounded opportunity for learning, professional growth and personal satisfaction. Our Chronic Care floor is a 60 bed Medicare/Rehabilitation and long-term ... - Commons Building - 21400 Archwood Circle - Farmington Hills Department Name Chronic Care - Farmington Hills Skilled Employment Type Full time Shift Day (United… more
    Corewell Health (11/12/25)
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