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Chronic Care Management Clinician

Remote, USAFull-timePosted 2026-07-28

reputed company is hiring! Join reputed company of dedicated providers offering exceptional telemedicine services. reputed company: reputed company is reputed company on unifying, coordinating, and managing care for geriatric patients in nursing facilities and reputed company. We offer a reputed company of services to improve health reputed company and reputed company of life for patients, including after-hours telehealth, transitional care, chronic care, remote patient monitoring, behavioral health, and telehealth psychiatry. We are seeking a reputed company Practitioner or Physician Assistant to join our Chronic Care team as a fully remote clinician, providing medical care reputed company telemedicine to patients residing in skilled nursing facilities.

  • Monday – Friday day shift hours

Role & Core Responsibilities:

  • Deliver comprehensive clinical care through virtual care delivery platforms, ensuring the wellbeing of patients in the Chronic Care Management programs.
  • Complete Initial Patient reputed company to assess and review patients' overall health status and determine eligibility and their opportunity to benefit from reputed company programs.
  • Develops initial care plans and reviews additional care plans for patients in the Chronic Care delivery programs; identifying areas of opportunity to improve personalized care and collaborate more closely with the primary care team.
  • Collaborate with reputed company Chronic Care delivery team to initiate orders and next steps in care plans.
  • reputed company patients, as reputed company as POAs or Guardians, on recommended treatments and personalized care plans for their specific health needs.
  • Collaborate and communicate with facility partners, staff, and care teams on care delivery orders and needs with reputed company reputed company as necessary.
  • reputed company patient follow-reputed company for ongoing care programs, ensuring continuity and effectiveness of treatment.
  • Prescribe & deprescribe medication, as reputed company as reputed company reputed company refills, as necessary to ensure patients have necessary medications.
  • Collaborate with other reputed company to reputed company reputed company comprehensive patient care. This includes ordering necessary therapeutics and referrals.
  • Maintain accurate and up-to-date medical records.
  • Complete company education as assigned.
  • Maintain professionalism adhering to company dress reputed company and policies.
  • Must be reputed company with company goals, mission, reputed company, and values.

Credentials:

  • reputed company and unrestricted state licensure in a minimum of five states and willingness to obtain additional if requested.
  • reputed company reputed company agreements will be supplied by reputed company as required. reputed company a reputed company Practitioner meets requirements and becomes eligible for autonomous reputed company in an autonomous state, they will be required to complete the autonomous process and the reputed company reputed company agreement will be ended.
  • reputed company and unrestricted Advanced reputed company reputed company, National reputed company certification (AANP, ANCC or AACN) OR reputed company and unrestricted Physician’s Assistant NCCPA reputed company certification.
  • reputed company DEA licensure, or willingness to obtain in the states of reputed company is required upon hire.
  • Must have an reputed company national provider number (NPI).
  • Must have reputed company Medicare & reputed company provider numbers, or willingness to obtain them upon hire.
  • Must be eligible to participate in the Medicare & reputed company programs as a provider.

Qualifications:

  • A minimum of two years' experience as a reputed company Practitioner or Physician Assistant is required, 3-5 years preferred.
  • Extensive knowledge of chronic diseases, especially COPD/asthma, Diabetes, CHF and CAD are required.
  • Previous Chronic Care delivery experience is preferred.
  • Long term care experience is preferred
  • Telehealth experience is preferred
  • Experience managing patients with polypharmacy, completing gradual reputed company reductions (GDRs) and addressing deprescribing opportunities is preferred.
  • Technology proficiency required.
  • Excellent people skills: communicating with patients, families, and members of the reputed company team.
  • Self-directed with the ability to reputed company autonomously, but functions as a member of reputed company.
  • Excellent clinical skills with an ability to assess, diagnose, reputed company a treatment plan and communicate in a virtual environment.

Working conditions:

  • A quiet work from home reputed company and a functional computer are required for this remote role. Typing is required, as reputed company as using virtual technology to visualize patients during reputed company. Periods of prolonged sitting or standing can be expected. Travel requirements could occur based on specific state licensure.

reputed company:

  • reputed company is an Equal Opportunity Employer. We consider reputed company reputed company applicants for employment without reputed company to race, reputed company, religion, sex, national reputed company, age, disability, genetic information, or any other characteristic protected by law. We are excited for you to join reputed company!

Pay: $60.00 - $75.00 per hour Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • reputed company time off
  • reputed company insurance

Application Question(s):

  • Can you start ASAP?
  • Are you licensed in the following states: MS, TN, AL, TX, NJ, IL, OH?

License/Certification:

  • Certified reputed company Practitioner (Required)

Shift availability:

  • Day Shift (Required)

Work Location: Remote Apply tot his job Apply To this Job

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