- Boston Health Care for the Homeless Program (Boston, MA)
- …their assigned patient panel, including conducting outreach in the community. Provides chronic disease management, supports transitions of care, and supports ... medication reconciliation and adherence and health and wellness coaching to these patients + Reviews and approves comprehensive assessments and care plans for several panels; works with NCMs on panel management using data to evaluate outcomes from targeted… more
- Belle (Atlanta, GA)
- …ideal for a compassionate nurse who is experienced in care coordination and chronic disease management, and passionate about improving the health and well-being ... of members through personalized, holistic support. Responsibilities + Manage, validate, and track all member cases, ensuring timely communication with appropriate healthcare and community resources + Leverage strong people skills to relate to members, show… more
- Baystate Health (West Springfield, MA)
- …and groups of patients. + Demonstrates a proactive approach to acute and chronic disease management. + Demonstrates respect and advocates for the patient's ... rights, values and belief systems. + Develops patient trust and engages the patient/ family in care and treatment. Understands social and cultural differences that might impede patient care **Requirements** + Massachusetts license as an RN and BLS CPR… more
- Boulder Community Hospital (Boulder, CO)
- …practice offers a wide range of services, including preventive care, routine physicals, chronic disease management, and treatment for acute conditions. The team ... at Boulder Creek Family Medicine is committed to building strong, long-term relationships with patients, ensuring personalized care that meets the unique health needs of every individual, from children to seniors. Known for their compassionate,… more
- Novant Health (King, NC)
- …and personal interests. + Your patients will need an array of preventive care services, chronic disease management, follow ups to acute care visits, and same day ... appointments for urgent problems. Candidate Qualifications: + Board-certified or board-eligible in Family Medicine (preferred) or Internal Medicine Benefits & Perks: + Use of DAX CoPilot ambient scribe services + Malpractice coverage + Reimbursement for… more
- Commonwealth Care Alliance (Boston, MA)
- …Model of care + Provides direct patient care through urgent visits, ongoing chronic disease management, and health promotion and preventative approaches + ... Utilizes face to face, in-home, community based, virtual, telephonic, group and case conferencing visit types to enhance patient care and care delivery + Engages in regular assessments, visits at regularly scheduled intervals, conducts acute visits as needed,… more
- University of Utah (Salt Lake City, UT)
- …priority research programs include the areas of social and behavioral aspects of chronic disease ; innovative care delivery models; simulation in nursing and ... interprofessional education; social, behavioral, and environmental determinants of health and health equity science; and complement our strengths in women's health, aging, caregiving across the lifespan, informatics and systems science, and clinical and… more
- State of Colorado (Lakewood, CO)
- …programming components which includes the Behavioral Program (level system), + Chronic Disease Protocol, Substance Use Services, Mental health Services, ... Motivational Interviewing, + Trauma Responsive environments, Practicum, and Internship program. In conjunction with the CTL, develops and conducts training for milieu staff and/or BHS. + This position is responsible for the training and development of interns,… more
- City of New York (New York, NY)
- …of programs and services focused on food and nutrition, anti-tobacco support, chronic disease prevention, HIV/AIDS treatment, family and child health, ... environmental health, mental health, and social justice initiatives. As the primary population health strategist and policy authority for NYC, with a rich history of public health initiatives and scientific advancements, from addressing the 1822 yellow fever… more
- Callen-Lorde Community Health Center (New York, NY)
- …education and counseling on HIV care, harm reduction, substance use, and chronic disease management. + Coordinate follow-up care, ensuring patients remain ... engaged in services. + Document all services in the electronic health record (EHR) accurately and promptly. + Track caseload activities, contributing to grant reporting, audits, and evaluations. + Lead interdisciplinary case conferences and collaborate with… more