Chronic Care Registered Nurse

Grand River Health Main Campus•Rifle, CO

1d•$29 - $42•Onsite

About The Position

Grand River Health is seeking a Chronic Care Registered Nurse to work with providers and clinic teams to support patients managing chronic conditions and improving their overall health. The role provides proactive outreach, patient education, and coordinated care to ensure patients receive consistent, personalized support. The ideal candidate is compassionate and organized, has strong clinical judgment and communication skills, and can work independently as part of a collaborative care team.

Requirements

Current Registered Nurse (RN) license with DORA in the state of Colorado.
At least two years of professional nursing experience in a clinic setting, or equivalent experience and demonstrated skills.
Current American Heart Association BLS certification within three months of hire and maintained throughout employment.
Strong clinical knowledge and assessment skills, including the ability to recognize concerns, solve problems, and respond appropriately in emergency situations.
Excellent communication, organization, and documentation skills, with the ability to build effective relationships with patients, providers, and team members.

Responsibilities

Collaborate with providers and clinic teams to coordinate patient care, improve outcomes, and support continuity of care.
Conduct proactive patient visits and phone consultations, Medicare Annual Wellness Exams, and Transitional Care Management services.
Develop individualized care plans and provide patient education, self-management support, and guidance on setting and achieving health goals.
Coordinate appointments, referrals, diagnostic testing, medication refills, and follow-up care to meet patient needs.
Monitor high-risk patients, provide medical triage, maintain accurate EMR documentation, and participate in quality improvement initiatives.
Perform other duties as assigned.