• Ambulatory Care Clinical Pharmacist

    Trinity Health (Caldwell, ID)
    …developing and coordinating a wide range of self- management support and chronic - care management activities for the clinic's affected patient population. ... from an acute care and post acute care setting and providing chronic disease state management of high and rising risk patients associated with assigned… more
    Trinity Health (10/07/25)
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  • Team Nurse - Primary Care

    Beth Israel Lahey Health (Needham, MA)
    …patient care role. Nursing visits include : Annual Wellness Visits (AWVs) and Chronic Care Management (CCM) of our BIDHC patients. (essential) 5. ... care . Collaborates with providers to identify needs for preventive care , evidence-based chronic disease management and care coordination. Provides… more
    Beth Israel Lahey Health (10/30/25)
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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 ... gaps as needed** **Population Health:** + **Schedule appointments related to preventive care , chronic disease management , and/or integrated behavioral… more
    HCA Healthcare (12/03/25)
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  • Care Manager RN WFH

    HCA Healthcare (Overland Park, KS)
    …, as appropriate + Identifies and enrolls eligible patients in longitudinal or chronic care management for medical or behavioral health conditions ... practice and provider empanelment processes + Schedules appointments related to preventive care , chronic disease management , and/or integrated behavioral… more
    HCA Healthcare (10/31/25)
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  • Certified Medical Assistant Care

    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 ... gaps as needed** **Population Health:** + **Schedule appointments related to preventive care , chronic disease management , and/or integrated behavioral… more
    HCA Healthcare (10/13/25)
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  • Physician - Primary Care

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    …as appropriate. Providing health education and health coaching on wellness, disease prevention, chronic care management , and self- management skills to ... activities pertaining to managing a panel of patients' health care , including preventative, ambulatory acute, and chronic ...health care , including preventative, ambulatory acute, and chronic disease management . Provider is expected to… more
    Veterans Affairs, Veterans Health Administration (11/12/25)
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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), ... both virtual and in-person days, including new and follow-up visits, chronic condition management , preventive care , and diagnostic coordination. + Guide and… more
    Rush University Medical Center (11/26/25)
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  • Community Health Worker - Case Management

    Ochsner Health (New Orleans, LA)
    …Organizational skills and ability to maintain a database. **Job Duties** + Assists with chronic care management by providing patient follow-up services and ... at Ochsner Health and discover your future today!** This job conducts chronic disease care management including but not limited to depression & anxiety.… more
    Ochsner Health (12/04/25)
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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 ... autonomy in nursing practice. Preferred experience in an emergency or acute care setting, chronic disease management or care transitions. Education… more
    Guthrie (11/21/25)
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  • Physician - Primary Care

    Telluride Regional Medical Center (Telluride, CO)
    …is an NCQA certified Patient Center Medical Home with integrative behavioral health and chronic care management . TRMC has the region's only 24/7 Emergency ... Floating MA or RN. The practice is an integrated model with 2 RN chronic care managers and 3 behavioral health therapists. EMR system in place with Informaticist… more
    Telluride Regional Medical Center (09/10/25)
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