Chronic Disease Management Jobs

Lead a multidisciplinary, senior-focused primary care team in Houston, delivering value-based, high-quality care as a Primary Care Physician for CenterWell Senior Primary Care.

CenterWell is seeking an experienced RN Care Navigator in Charleston, SC to coordinate care for high‑risk seniors, address social needs, and support interdisciplinary care through in‑home and clinic-based interventions.

Experienced Nurse Practitioner or Physician Assistant needed for outpatient primary care at Wellstar in Augusta, GA, delivering patient-centered clinical care and supporting administrative and documentation needs.

Northwestern Medicine is hiring an Ambulatory Nurse Care Coordinator to manage care coordination, patient education, and transition support for ambulatory patients in a hybrid, weekday day-shift role.

The Naval Medical Center San Diego seeks an experienced Registered Nurse in Health Education to deliver clinical education, lead health-promotion programs, and support multidisciplinary patient care.

Provide front-line patient coordination, scheduling, and referral management for The Wonderful Company's Central Valley wellness and student clinics to support clinicians and ensure excellent patient service.

CenterWell (a Humana company) seeks a BSN-prepared RN to provide telephonic care management and medication education for members with complex chronic and rare conditions.

UAMS is hiring a Registered Nurse to deliver outpatient surgical clinic care, triage patients by phone and in-clinic, provide education and medication management, and coordinate follow-up for improved patient outcomes.

Experienced Registered Nurse needed at UAMS TOSH Specialty Clinic to deliver outpatient chronic care management, patient education, and coordinated follow-up in a collaborative clinical environment.

Northwestern Medicine is hiring an Ambulatory Nurse Care Coordinator to manage care coordination, patient education, and transitions of care for ambulatory patients in Palos Heights.

Provide comprehensive in-home and virtual primary care for whole-family panels as a licensed Physician Assistant at Nest Health, partnering with an interdisciplinary team to deliver value-based care to underserved families.

CenterWell (Humana) is hiring a Primary Care Physician to lead a multidisciplinary team delivering senior-focused, value-based primary care at the Grove Park Atlanta center.

Maine Commonwealth Medical Services is hiring a Family Medicine NP or PA to provide comprehensive, patient-centered primary care across diverse populations in Maine.

Humana seeks a bilingual RN Care Manager based in Puerto Rico to provide telephonic chronic care management, care coordination, and member education to improve health outcomes.

Provide comprehensive primary care to seniors as a Nurse Practitioner or Physician Assistant in CenterWell's value-based, team-based clinics across the Phoenix area.

Provide comprehensive, team-based primary care to seniors as a Nurse Practitioner or Physician Assistant at CenterWell Senior Primary Care in North Augusta, SC.

Southern New Hampshire Health is hiring a part-time Registered Nurse to provide clinical nursing, patient education, and care coordination at the Primary Care of Pepperell clinic.

Provide comprehensive adult primary care as a Board-Certified Nurse Practitioner at UM Shore Regional Health in Easton, delivering outpatient care within a collaborative, community-focused practice.

Experienced RN needed to coordinate ambulatory endocrine clinic care — managing patient flow, education, triage, and physician support in a top-ranked diabetes and endocrine practice.

Plumas District Hospital seeks a Care Coordinator RN in Quincy to lead chronic care coordination, patient advocacy, and interdisciplinary referrals to optimize outcomes for community patients.

Family Nurse Practitioner opportunity in Central Valley delivering primary care to culturally diverse and underserved communities within a supportive, interdisciplinary clinic setting.

Primary Care/Family Medicine Physician needed in Brooklyn to provide comprehensive, patient-centered outpatient care for patients of all ages within a collaborative practice.

Oscar Health is hiring a Manager of Clinical Pharmacy Programs to lead formulary strategy and clinical pharmacy operations that reduce drug spend and enhance member outcomes.

A full-time NP or PA is needed to deliver outpatient family medicine in Santa Fe within a collaborative, team-based primary care practice at Presbyterian Medical Group.

Lead and coordinate worksite wellness and chronic disease prevention programs for Austin Public Health, providing technical assistance, program management, and outreach across worksites and schools.

Experienced Nurse Practitioner needed to provide geriatric primary and acute care across assisted living and board-and-care homes in the Orange County/Irvine area.

Experienced licensed clinicians are sought to serve as inpatient Case Manager IIs at UMMC Midtown Campus, coordinating discharge plans, authorizations, and multidisciplinary care to improve outcomes and transitions.

Experienced APRN sought to provide PRN palliative and hospice care across inpatient, outpatient, and SNF settings, supporting an evidence-based program and care coordination.

Community health organization in Sacramento seeks a Family or Internal Medicine MD/DO to provide comprehensive primary care in a supportive, team-based outpatient setting.

Provide comprehensive inpatient and outpatient primary care for a Central Florida community health organization, with bilingual Spanish speakers encouraged to apply.

St. Luke’s is recruiting an Ambulatory Care Pharmacist to lead medication management and patient-centered care within a multidisciplinary metabolic and obesity clinic.

Experienced Family Medicine physician needed to deliver patient-centered primary care services for a DoD client with options for W2 or 1099 engagement.

Experienced or early-career internist needed for an outpatient multi-specialty practice in the Bronx, offering a competitive base salary, robust benefits, and sign-on incentives.

Provide empathetic, HIPAA-compliant virtual patient care and administrative support as a Medical Assistant on a fast-growing remote telehealth team.

Provide evidence-based primary care as a PA or NP at a VA Community Based Outpatient Clinic in San Antonio, delivering team-based, Veteran-centered care both in-person and via telehealth.

Family Medicine Physician position in a Massachusetts health system providing comprehensive outpatient care, teaching opportunities, and engagement in quality and population-health initiatives.

Provide comprehensive primary care and chronic disease management as a Family Medicine Physician supporting VA patients through International SOS Government Medical Services in Clarksburg, WV.

Experienced General Practitioner needed to deliver patient-centered primary care, manage acute and chronic conditions, and coordinate care within a community-focused practice.

Provide primary care and medical management for incarcerated adults at Deer Ridge Correctional Institution as a licensed Nurse Practitioner with opportunities for meaningful, autonomous clinical work.

Salud Family Health is hiring a board-certified Family Medicine Physician to deliver team-based primary care at its Sterling, CO community health clinic, serving diverse and underserved patients.

OhioHealth seeks an experienced RN Care Manager to coordinate patient-centered care, apply evidence-based interventions, and collaborate across the care continuum at Riverside Methodist Hospital.

Clinical Director (Adult Medicine) wanted to lead clinical operations and deliver direct primary care while driving quality improvement and provider performance at community health sites in Hartford and Windsor, CT.