- 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
- State of Minnesota (St. Paul, MN)
- …a high degree of scientific knowledge about diabetes and chronic disease epidemiology, prevention, treatment and management , and how behavioral and social ... of the following responsibilities: + Experience implementing statewide initiatives focused on chronic disease prevention and management + Experience building… 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
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …managing a panel of patients' health care, including preventative, ambulatory acute, and chronic disease management . Provider is expected to maintain Joint ... as appropriate. Providing health education and health coaching on wellness, disease prevention, chronic care management , and self- management skills to… more
- Cedars-Sinai (Beverly Hills, CA)
- …specific services. + Acts as the liaison to Population Health department in regard to chronic disease state management programs. + Assists in the development ... internationally recognized IBD specialists provide outstanding patient-centered care for chronic inflammatory conditions like Crohn's disease and ulcerative… more
- Veterans Affairs, Veterans Health Administration (Jasper, AL)
- …Provides direct nursing care, including medication management , wound care, chronic disease management , and health education. Collaborates with ... plans, adjust treatment goals, and coordinate services. Promotes patient and caregiver self- management of chronic illness through teaching, coaching, and ongoing… more
- Union Hospital (Terre Haute, IN)
- …Care Pharmacists are involved with multiple modalities of medication review, including chronic disease state management , transitions of care, patient ... Pharmacists work closely with providers and are actively involved in co- management of chronic disease states including diabetes, hypertension, COPD, CHF,… more
- UNC Health Care (Clayton, NC)
- …patient needs with complex clinical management , patient complexities and chronic disease management . Experienced candidates preferred but will ... + Complex patient panel + Lean Management + Large patient population w/ chronic disease management + EMR - EPIC + Dietician, Social Worker and Pharmacist… more
- Penn Medicine (Lancaster, PA)
- …+ Provides patient specific education including but not limited to preventive care, chronic disease management , acute diagnosis, medications and other areas ... necessary. + Assists with proactive outreach for patients requiring preventive and chronic disease services. + Performs care coordination activities among… more