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Ortonville Area Health Services

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RN - Chronic Care / Health Coach

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Description

The RN Chronic Care/Health Coash is responsible for providing comprehensive nursing care and care coordination services for patients with chronic and complex health conditions. This position combines direct patient care, population health management, chronic disease registry oversight, preventive care services, and health coaching to improve patient outcomes and support quality initiatives. The RN will develop a panel of patients requiring chronic care management and provide individualized care planning, education, coaching, and follow-up. The position will also maintain an independent schedule of nurse visits and contribute to organizational quality improvement efforts through disease registry management and implementation of evidence-based interventions.

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