• Optum (South Bend, IN)
    …than just provide medicine: we change lives for the better. People with serious mental or chronic illness - and those who care for them - have moving stories, ... voice, their partner. Working as part of a coordinated care team, we partner with community-based providers and others...treatment plans. Our personalized services - in-clinic pharmacies, medication management and more - are leading the way to… more
    Get It 2025 (11/25/25)
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  • Chronic Care Management (CCM)…

    George C. Grape Community Hospital (Hamburg, IA)
    Chronic Care Management (CCM) Nurse We are seeking a compassionate and detail-oriented Chronic Care Management (CCM) Nurse to join our team. This ... license in Iowa. * Minimum of 2 years clinical experience, preferably in chronic disease management , primary care , or case management . * Experience with… more
    George C. Grape Community Hospital (11/15/25)
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  • Remote Registered Nurse (Remote Patient Monitoring…

    315 health (Warner Robins, GA)
    …of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management . Our team works fervently to anticipate the ... + Background in adult chronic health conditions (Medical Surgical, Outpatient/Clinic, Care Management ) preferred + Variety of Electronic Medical Record (EMR)… more
    315 health (09/09/25)
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  • LPN, Chronic Care

    MTC (Chaparral, NM)
    …9. Assist to train staff/co-worker's skills related to infection control, infectious disease, and chronic care management . 10. Refer chronic care ... (PTO) + Paid Holidays Make a difference in health care ! **Operated by the Management & Training...the health services administrator (HSA) to develop and conduct chronic care and infection control education and… more
    MTC (10/31/25)
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  • Chronic Care Manager (CCM) with…

    The Kidney Experts, PLLC (Jackson, TN)
    Care Manager - CCM What is Chronic Care Management ? https://www.cms.gov/outreach-a ... Chronic Care Manager implements, manages, and coordinates all Chronic Care Management Program activities. You will directly engage, manage, and… more
    The Kidney Experts, PLLC (11/06/25)
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  • RN Clinical Care Navigator-Full-Time

    Mille Lacs Health System (Onamia, MN)
    …needs.* + Document all TOC activities per organizational standards and CMS requirements. Chronic Care Management (CCM): + Identify eligible patients with ... + Prior experience in care coordination, case management , or chronic care management . + Knowledge of population health principles and value-based … more
    Mille Lacs Health System (11/06/25)
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  • 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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  • Care Connections Master of Social Work

    Novant Health (NC)
    …developing and coordinating a wide range of self- management support and chronic - care management activities for the clinic's affected patient population. ... Team members navigators to develop systems and promote effective self- management of chronic - care and assist patients with navigating the healthcare… more
    Novant Health (09/06/25)
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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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  • Primary Care Registered Nurse

    Veterans Affairs, Veterans Health Administration (San Francisco, CA)
    …Provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management . Assists in directing the provision of ... Nurse (LPN), and Clinical Support Staff-the RN is responsible for the case management , health promotion, disease prevention, and chronic disease management more
    Veterans Affairs, Veterans Health Administration (11/07/25)
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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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  • Nurse Care Manager

    Bloom Healthcare (Lakewood, CO)
    …patient change of conditions to providers appropriately + Managing patients in the Chronic Care Management (CCM) program + Communicating with ... We bring high-touch, innovative medicine to those living at home with chronic conditions. Bloom's model of care is proven to provide exceptional care to the… more
    Bloom Healthcare (11/06/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Little Rock, AR)
    …Qualifications** + BSN or MSN degree in nursing or equivalent + Previous adult chronic conditions care management + Previous experience in care ... management including knowledge of complex care management and care management principles + Experience with motivational interviewing + Experience… more
    Humana (11/19/25)
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  • Outpatient Staff Registered Nurse - Patient…

    Veterans Affairs, Veterans Health Administration (Montrose, NY)
    …Provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management . Assists in directing the provision of ... on age specific components and assumes responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction… more
    Veterans Affairs, Veterans Health Administration (11/25/25)
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  • Specialty Care - Surgical Specialty…

    Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
    …health promotion, health education and coaching on wellness, disease prevention, and chronic care management . Collaborates in the development, ... managing complex client situations. Assumes responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Registered Nurse, Patient Aligned Care Team…

    Veterans Affairs, Veterans Health Administration (Peoria, IL)
    …provides health promotion, health education and coaching on wellness, disease prevention, and chronic care management . The focus is on individual growth ... The PACT RN assumes responsibility for the coordination of care focused on patient education, self- management , and...coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of … more
    Veterans Affairs, Veterans Health Administration (10/23/25)
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