• 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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  • Care Manager LCSW WFH

    HCA Healthcare (Asheville, NC)
    …as appropriate + Identifies and enrolls eligible patients in longitudinal or chronic care management for medical or behavioral health conditions + ... and provider empanelment processes + Schedules appointments related to preventive care , chronic disease management, and/or integrated behavioral health +… more
    HCA Healthcare (12/13/25)
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  • Physician Assistant - Primary Care

    Veterans Affairs, Veterans Health Administration (Wenatchee, WA)
    …Veterans providing health education and health coaching on wellness, disease prevention, chronic care management and self-management skills to patients and ... recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management. Preferred Experience: 3… more
    Veterans Affairs, Veterans Health Administration (12/13/25)
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  • Physician - Primary Care

    Veterans Affairs, Veterans Health Administration (Wenatchee, WA)
    …Veterans providing health education and health coaching on wellness, disease prevention, chronic care management and self-management skills to patients and ... calls, recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management. VA offers a… more
    Veterans Affairs, Veterans Health Administration (12/13/25)
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  • Advanced Practice Nurse - Primary Care

    Veterans Affairs, Veterans Health Administration (Wenatchee, WA)
    …Veterans providing health education and health coaching on wellness, disease prevention, chronic care management and self-management skills to patients and ... calls, recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management. VA offers a… more
    Veterans Affairs, Veterans Health Administration (12/13/25)
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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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