• Guidehealth (Chicago, IL)
    …4 years clinical nursing experience At least 4 years of extensive experience in chronic care case management in outpatient setting Certification in case ... Liaisons, Behavioral Health Liaisons, and Home Health Liaisons. Overseeing smooth Transitional Care Management for all patients discharged from in patient… more
    Upward (07/23/25)
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  • Ennoble Care (Tulsa, OK)
    …variety of programs including, remote patient monitoring, behavioral health management , and chronic care management , to ensure that our patients receive ... Care 's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a… more
    Upward (07/11/25)
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  • Evolent Health, Inc. (Baltimore, MD)
    …nursing experience, preferably in case management , discharge planning, home health, ambulatory care , chronic care management , disease management , ... to positively impact and improve the healthcare delivery system. Collaboration Opportunities Our Care Management team offers candidates the opportunity to make a… more
    Upward (07/18/25)
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  • Ennoble Care (Atlanta, GA)
    …variety of programs including, remote patient monitoring, behavioral health management , and chronic care management , to ensure that our patients receive ... Care 's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a… more
    Upward (07/12/25)
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  • CareMed Health Solutions (Owingsville, KY)
    …Residents with acute change in condition. Advanced care planning and chronic care management . Prescribe appropriate medications, including controlled ... provide medical services to patients living in long term care facilities. We strive to give quality care...chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care . NP… more
    Upward (06/30/25)
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  • Geisinger (Selinsgrove, PA)
    …with an active Pennsylvania license Minimum 3 years experience in family medicine, including chronic and acute care management Access to a private workspace ... Job Title: Nurse Practitioner or Physician Assistant Primary Care Inbox Management Location: Selinsgrove, Pennsylvania Job Category: Physician Assistant, Nurse… more
    Upward (07/24/25)
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  • Marathon Health (Bowie, MD)
    …required at time of start date Independent family practice experience including routine wellness care , chronic care management , and urgent visit, ... at time of start date Independent family practice experience including routine wellness care , chronic care management , and urgent visit, preferred Pay… more
    Upward (07/14/25)
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  • Upward Health (San Francisco, CA)
    …needs of diverse patient populations. Competencies: Clinical Expertise: Strong knowledge of chronic disease management , care transitions, and evidence-based ... outpatient services. Skills Required: Registered nursing license (unrestricted) Expertise in care management and coordination across healthcare providers Strong… more
    Upward (07/23/25)
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  • Pine Park Health (Phoenix, AZ)
    …day-to-day practice, culture, or clinical guidelines, including for emerging disease(s) Provide monthly Chronic Care Management (CCM) visits and care ; ... comprehensive clinical support for chart preparation, patient education, and follow-up care management , creating an efficient workflow that enhances provider… more
    Upward (07/19/25)
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  • The CSI Companies (West Palm Beach, FL)
    …nutrition modifications, and compliance with medical appointments. Apply principles of personalized chronic care management , shared decision making and ... the patient's lab values, vitals, blood results, diet/nutrition, etc. Facilitate customized care plans and guidelines for managing chronic conditions. Oversee… more
    Upward (07/19/25)
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  • Finger Lakes Health The Homestead | 418 N Main St, Penn Yan,… (Penn Yan, NY)
    …long-term care or skilled nursing preferred. Basic understanding of geriatric care , chronic condition management , and state/federal LTC regulations. ... care facility. This role is essential in ensuring high-quality, continuous care for individuals with chronic health conditions or functional limitations. Job… more
    Upward (07/24/25)
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  • Summit Medical Consultants LLC (Denver, CO)
    …*Travel to multiple facilities of the practice, as needed and as directed. *Conduct Chronic Care Management patient chart reviews, telephone calls, and ... management programs. Regular travel to facilities is required to conduct chronic care management visits. Work schedule is FT days 40 hr/week and at… more
    Upward (06/27/25)
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  • COPE Health Solutions (Los Angeles, CA)
    …to develop processes for managing the patient's preventative care , transitions of care , and or chronic disease management using defined protocols as ... Description The Licensed Clinical Social Worker (LCSW), Care Management , will work on a multidisciplinary healthcare team in a primary care /telephonic… more
    Upward (07/20/25)
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  • Theoria Medical (Excelsior Springs, MO)
    …American HealthTech are the most commonly used facility EHR systems Participating in Theoria's Chronic Care Management , Transitional Care , RPM and other ... and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and… more
    Upward (07/21/25)
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  • TapestryHealth (Jacksonville, FL)
    …They ensure proactive patient care through the review and discussion of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health ... planning and improve patient outcomes. Qualifications: Licensed nurse practitioner. Experience in chronic care management , remote patient monitoring, or… more
    Upward (07/02/25)
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  • One Medical (Huntington Beach, CA)
    …in-office and 24/7 virtual care services, on-site labs, and programs for preventive care , chronic care management , common illnesses and mental health ... About Us One Medical is a primary care solution challenging the industry status quo by...array of patient needs; conducting a mix of acute, chronic , and well visits Treating patients in-office or in… more
    Upward (07/04/25)
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  • Alpine Physician Partners (San Antonio, TX)
    …weekend coverage if required). Average of 18-24 patient visits per day, including preventive care , chronic disease management , and acute care . ... Job Description: Job Title: Primary Care Nurse Practitioner (NP) or Physician Assistant (PA)...and ordering or interpreting diagnostic tests. Manage acute and chronic medical conditions across a diverse patient population. Develop… more
    Upward (07/01/25)
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  • TriHealth (Cincinnati, OH)
    …key quality and utilization metrics for wellness and chronic disease management Demonstrate abilities in the Primary Care quality program, including ... (eg, Diabetes Education, Colon Cancer Screening) Facilitate follow-up for post-hospital care , chronic disease management , or specialty referral Other… more
    Upward (07/17/25)
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  • Theoria Medical (Hudson, OH)
    …American HealthTech are the most commonly used facility EHR systems Participating in Theoria's Chronic Care Management , Transitional Care , RPM and other ... : NP/PA support at all locations, always. Pre-Screened Patient Interactions : Virtual care team and APP triage before physician contact. Flexible Scheduling : Your… more
    Upward (07/07/25)
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  • Theoria Medical (Howell, MI)
    …American HealthTech are the most commonly used facility EHR systems Participating in Theoria's Chronic Care Management , Transitional Care , RPM and other ... and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care...such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease,… more
    Upward (07/14/25)
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