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Job Description
Centered in a clinician provider practice, this individual works in partnership with patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines. Coordinates care for patients with chronic disease and manages effective care transitions for them within the continuum. Partners with the provider care team for successful preventative care visits to reduce the severity of chronic disease and avoidable acute illness. Provides effective clinical health coaching to assist patients with self-management of their chronic disease and life-style changes to mitigate health risk. Promotes effective partnerships and utilization of community...