RN - Chronic Care / Health Coach
About The Position
The RN Chronic Care/Health Coach provides comprehensive nursing care and care coordination for patients with chronic and complex health conditions. The role 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 develops a panel of patients requiring chronic care management and provides individualized care planning, education, coaching, and follow-up. The position maintains an independent schedule of nurse visits and contributes to organizational quality improvement efforts through disease registry management and implementation of evidence-based interventions. The position is 76 hours per pay period, with one full day off and one additional half day off per pay period. Hours are 7:30 a.m. to 5:00 p.m., with a 30-minute unpaid lunch.
Requirements
- Current Registered Nurse (RN) license in Minnesota and South Dakota.
- Strong communication, patient education, and care coordination skills.
- Ability to work independently while collaborating effectively with providers and clinic staff.
- Obtain Health Coach Certification within six months of hire.
- Maintain required continuing education and professional competencies.
Nice To Haves
- A minimum of three years of professional nursing experience in a clinical setting is preferred.
Responsibilities
- Provide comprehensive nursing care and care coordination for patients with chronic and complex health conditions.
- Manage population health and oversee chronic disease registries.
- Provide preventive care services and health coaching.
- Develop a panel of patients requiring chronic care management.
- Provide individualized care planning, education, coaching, and follow-up.
- Maintain an independent schedule of nurse visits.
- Contribute to organizational quality improvement efforts through disease registry management and implementation of evidence-based interventions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
