RN Medical Ambulatory Care

2 weeks ago


Danville CA, United States CARLE Full time

5,000 Sign on Bonus Available(The Population Health Nurse will promote effective partnerships between patients, families, nurses, physicians, other qualified healthcare providers and clinical disciplines to coordinate care for patients with chronic disease and effectively manages care transitions and facilitate a "shared goal model". He or she will partner with the provider care team for successful preventative care visits to reduce the severity of chronic disease and avoidable acute illness. He or she will provide effective clinical health coaching to assist patients with self-management of their chronic disease and life-style changes to mitigate health risk.
Demonstrates professional and effective written and verbal communication skills.
Cultivates effective partnerships will all members of the patient care team.
Stratify patient population according to risk to effectively and efficiently manage patients. Maximize use of qualified clinical staff within the care management team to provide appropriate non-face-to-face patient contact.
Collaborate with practice leaders to implement effective internal tracking systems for patients such as patient panels, annual wellness visit scheduling, transition of care follow-up calls/timely provider visits, and CCM non-face-to-face monthly encounters.
Ensure all required elements are documented for CCM and related AWV component billing.
Ensure office staff has an effective internal tracking process to capture results, medication acquisition, missed appointments, and adherence to follow-up appointments.
Develop a process to track Annual Wellness Visits (AWV) scheduling and ensure that patient records are reviewed appropriate to identify care gaps prior to visit with the provider visit. Post reminders to secure that all co- morbidities are discussed and documented during AWV.
Participate in huddles with provider and care team. Identify scheduling opportunities, determine special needs for patients arriving that office/clinic day, identify patients who need care outside of their scheduled visit, patients overdue for AWV and those with missed appointments needing rescheduling. Ensure sharing of positive patient stories or compliments involving care team efforts.
Provide clinical health coaching interventions to motivate patients and families toward successful self-management of chronic disease. Effectively partner with provider practice team members to mobilize needed community resources for the patient and family.
In collaboration with the physician or qualified healthcare provider, develop a care plan based on mutual goals with the patient, family, the provider, and emergency plan, medical summary, and ongoing action plan, as appropriate. Monitor patient adherence to plan of care and progress toward goals in a timely fashion, and facilitate changes as needed.
Facilitate patient access to appropriate medical and specialty providers as indicated by physician or qualified healthcare provider.
Attend and participate in all Care Coordination related trainings and meetings as assigned.



  • Danville, United States Veterans Health Administration Full time

    Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are carried out with assistance from staff members from other clinical and support services that are supervised by their clinical service chiefs but provide a full range of medical services to patients who are assigned to...


  • Danville, Virginia, United States Veterans Health Administration Full time

    Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are carried out with assistance from staff members from other clinical and support services that are supervised by their clinical service chiefs but provide a full range of medical services to patients who are assigned to...


  • San Francisco, CA, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Ambulatory Care ~ Shift: 10 hours, days ~ Employment Type: Travel Ambulatory Care Nurses take care of patients in environments outside of hospitals. Their primary focus lies in pain management and general health education for patients...


  • Beverly Hills, CA, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN Ambulatory Care for a travel nursing job in Beverly Hills, California. Ambulatory Care ~ Shift: 9 hours, days ~ Employment Type: Travel Ambulatory Care Nurses take care of patients in environments outside of hospitals. Their primary focus lies in pain management and general health education for patients...


  • San Francisco, CA, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Ambulatory Care ~ Shift: 8 hours, days ~ Employment Type: Travel Ambulatory Care Nurses take care of patients in environments outside of hospitals. Their primary focus lies in pain management and general health education for patients...


  • Danville, IL, United States Department Of Veterans Affairs Full time

    DutiesSupervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are carried out with assistance from staff members from other clinical and support services that are supervised by their clinical service chiefs but provide a full range of medical services to patients who are assigned to...

  • Travel Nurse RN

    1 month ago


    San Francisco, CA, United States OneStaff Medical Full time

    OneStaff Medical is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California.Job Description & RequirementsSpecialty: Ambulatory CareDiscipline: RNStart Date: 08/26/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAmbulatory Care Nurses take care of patients in environments outside of...


  • San Francisco, CA, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Ambulatory Care ~ Start Date: ASAP ~ Shift: 10 hours, days ~ Employment Type: Travel Supplemental Health Care is working with a hospital in San Francisco, California to hire Ambulatory Care Registered Nurses. For more than 30...


  • Danville, United States Department of Veteran Affairs Full time

    Lead our Primary Care Team and enjoy a balanced workload!!Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are carried out with assistance from staff members from other clinical and support services that are supervised by their clinical service chiefs but provide a full range of...

  • RN TRAVEL

    1 month ago


    Los Angeles, CA, United States KPG Healthcare Full time

    KPG Healthcare is seeking a travel nurse RN Ambulatory Care for a travel nursing job in Los Angeles, California. Ambulatory Care ~ Shift: 9 hours, days ~ Employment Type: Travel To work a contract with KPG Healthcare, a nurse must have two years of KPG Healthcare Job ID #393275. Pay package is based on 9 hour shifts and 40 hours per week (subject to...


  • Danville, CA, United States CARLE Full time

    $5,000 Sign on Bonus Available!!!(external candidates only) The Ambulatory Nurse utilizes a systematic approach to nursing by incorporating assessment, planning, implementation and evaluation in the practice of nursing. Provides healthcare to individuals, families, and communities within the RN scope of practice as defined by the Illinois Board of Nursing. ...

  • Travel Nurse RN

    1 month ago


    San Francisco, CA, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Job Description & Requirements Specialty: Ambulatory Care Discipline: RN Start Date: 09/02/2024 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Perks: Day 1 Medical, Health, Dental, Vision Insurance....

  • Registered Nurse

    1 week ago


    , CA, United States PRIDE Health Full time

    About the Role:We are seeking a skilled Registered Nurse to join our team at PRIDE Health in Pasadena, CA. As an Ambulatory Care Registered Nurse, you will be responsible for providing high-quality patient care in an outpatient setting.Key Responsibilities:Assess patient needs and develop individualized care plansAdminister medications and treatments as...


  • San Francisco, CA, United States Cross Country Nurses Full time

    Cross Country Nurses is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Ambulatory Care ~ Shift: 10 hours, days ~ Employment Type: Travel For a limited time, we're offering a $750 sign-on bonus and a $750 completion bonus* for select positions. Job Description As a medical/surgical nurse (RN M/S), you...

  • Registered Nurse

    4 days ago


    Seaside, CA, United States Providence RN Full time

    RN - Emergency Services at Providence Seaside Hospital is a per diem position on a variable shift. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Learn why nurses choose to work at Providence by visiting our Nursing Institute page. Join our team at Providence Seaside...


  • Danville, CA, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Telemetry for a travel nursing job in Danville, Virginia. Telemetry ~ Start Date: ASAP ~ Shift: 12 hours, nights ~ Employment Type: Travel As one of the largest Healthcare jobs placement agencies in the U.Supplemental Health Care has been connecting with nurses for more than 30 years. We’re...

  • Medical Director

    2 days ago


    Danville, Illinois, United States Department of Veteran Affairs Full time

    Job SummaryWe are seeking a highly skilled and experienced Medical Director to lead our Primary Care Team at the Department of Veteran Affairs. As a key member of our healthcare team, you will be responsible for overseeing the operations of our Ambulatory Care department, ensuring the delivery of high-quality patient care, and promoting a culture of...


  • San Francisco, CA, United States LanceSoft Full time

    LanceSoft is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Ambulatory Care ~ Shift: 12 hours, nights ~ Employment Type: Travel ~ Perks: Day 1 Medical, Health, Dental, Vision Insurance. Weekly Pay. Travel reimbursement, $700 Referral bonus. Day 1 Medical, Health, Dental, Vision Insurance. Weekly...


  • San Francisco, CA, United States Tact Staff Full time

    Tact Staff is seeking a travel nurse RN Ambulatory Care for a travel nursing job in San Francisco, California. Job Description & Requirements ~ Specialty: Ambulatory Care ~ Discipline: RN ~ Start Date: 09/16/2024 ~ Duration: 13 weeks ~36 hours per week ~ Shift: 12 hours ~ Employment Type: Travel Job Description: Ambulatory Care RN accountable...

  • Travel Nurse RN

    1 month ago


    Los Angeles, CA, United States KPG Healthcare Full time

    KPG Healthcare is seeking a travel nurse RN Ambulatory Care for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Ambulatory Care Discipline: RN Start Date: 09/09/2024 Duration: 13 weeks 40 hours per week Shift: 9 hours, days Employment Type: Travel To work a contract with KPG Healthcare, a nurse must have...