• Advanced Practice Nurse - Care in the Community

    Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
    …practice. Develops and implements an individualized plan to achieve optimal population health and disease management . Demonstrates leadership and works ... Independently manages a panel of patients with acute and chronic health conditions with an emphasis on... health conditions with an emphasis on health promotion and disease prevention using evidence-based… more
    Veterans Affairs, Veterans Health Administration (09/19/25)
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  • Heart Failure Pharmacist

    Trinity Health (Boise, ID)
    …and care coordination across the health care continuum. Focuses on providing chronic disease state - to include heart disease , pulmonary hypertension, ... Works collaboratively with physicians, advanced practice providers, staff and other health care professionals to provide medication management , education,… more
    Trinity Health (09/19/25)
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  • RN, ACO Nurse Care Manager, Community…

    Baystate Health (Springfield, MA)
    …patients to optimize control of chronic medical and mental health conditions, improve functional status, reinforce self- management plan and prevent/minimize ... understanding of discharge instructions and assess for further care management needs. + Providing disease management...nursing experience + A minimum of 2 years care management and or community health experience +… more
    Baystate Health (07/14/25)
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  • Quality; Clinical Pharmacy Manager; Mount Sinai…

    Mount Sinai Health System (New York, NY)
    disease states and medications, including: - Desired results and/or goals of chronic disease states - Name, strength, description, and purpose of each ... databases, national guidelines, and follows evidence-based medicine for medication therapy management of disease states 3. Provides education to patients,… more
    Mount Sinai Health System (08/21/25)
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  • RN Case Manager (Hybrid) - SNP Special Needs Plan…

    Henry Ford Health System (Troy, MI)
    …Team with experienced Registered Nurses! In this role, you will oversee Case Management for our Chronic -Special Needs Program (C-SNP) and Dual-Special Needs ... on the standard criteria for the plan (see more here (https://www.hap.org/ health -programs/care- management ) ). Following completion of orientation, our staff… more
    Henry Ford Health System (09/20/25)
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  • RN Educator - Nephrology/Kidney Care

    ChenMed (Norfolk, VA)
    …The RN Patient Educator collaborates with medical practitioners and leaders to incorporate chronic disease education into the plan of care for a specialized ... and reduces hospital and ER admissions. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides chronic disease education relative to quality care for a specific… more
    ChenMed (08/16/25)
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  • RN Case Manager - Inpatient Case Management

    Trinity Health (Grand Rapids, MI)
    … or other related professional certification. + Two to five years of medical/surgery or chronic disease management experience in an acute care setting + ... Summary:** Oversees and coordinates the discharge planning and utilization management activities for assigned caseload. Facilitates appropriate utilization of… more
    Trinity Health (08/02/25)
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  • Care Manager, Outpatient - Clear Lake Center

    UTMB Health (Webster, TX)
    …educational seminars to keep abreast of current knowledge in the field of nursing, chronic disease and/or care management . + Participates in the planning, ... Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504980 **Minimum...to the on-going and follow-up care of program specific chronic disease patients. Acts as an advocate… more
    UTMB Health (09/17/25)
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  • Physician (Primary Care - Hyannis CBOC)

    Veterans Affairs, Veterans Health Administration (Hyannis, MA)
    …& resident /medical student supervision Expected to meet or exceed established Chronic Disease , Prevention & Utilization Indicators Provide appropriate care for ... care clearly, adequately & accurately as defined by medical records documentation, chronic disease & prevention indicators Signs notes in a timely manner… more
    Veterans Affairs, Veterans Health Administration (08/22/25)
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  • Registered Dietitian

    Sea Mar Community Health Centers (Aberdeen, WA)
    …Washington. While in this position, the RD will work closely with the Health Educator, Chronic Care Coordinators, medical providers and other clinical team ... settings. Nutritional conditions frequently encountered in our clinics include diabetes, obesity, chronic kidney disease , hypertension, heart disease and… more
    Sea Mar Community Health Centers (07/18/25)
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