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Chronic Care Jobs (NOW HIRING)

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Chronic Care information

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How much do chronic care jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for chronic care in the United States is $30.56, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $35.34 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals in chronic care management, and how can they be addressed?

Chronic care professionals often encounter challenges such as managing complex patient needs, coordinating care among multiple providers, and ensuring patient adherence to long-term treatment plans. Time management and effective communication are key to overcoming these obstacles. Building strong relationships with patients and leveraging interdisciplinary teamwork can help ensure continuity of care and better health outcomes. Additionally, staying updated on best practices and utilizing digital health tools can streamline workflows and improve patient engagement.

What are the key skills and qualifications needed to thrive in chronic care management, and why are they important?

To excel in Chronic Care management, professionals typically need a background in nursing, social work, or healthcare administration, along with experience in managing patients with long-term illnesses. Familiarity with care coordination platforms, electronic health records (EHRs), and certifications such as CCM (Certified Case Manager) are valuable. Strong communication, empathy, and organizational skills are crucial for building trust with patients and efficiently coordinating multidisciplinary care. These competencies ensure effective management of complex health conditions, leading to better patient outcomes and reduced hospitalizations.

What is chronic care?

Chronic care professionals are healthcare workers who specialize in managing and treating patients with long-term health conditions, such as diabetes, heart disease, asthma, or arthritis. Their goal is to help patients maintain the best possible quality of life by monitoring symptoms, coordinating care, and providing education about disease management. Chronic care professionals may include doctors, nurses, care coordinators, and other allied health staff who work together to create personalized care plans and support ongoing treatment. They often work in hospitals, clinics, or community health settings.

What is the difference between Chronic Care vs Primary Care Physician?

AspectChronic CarePrimary Care Physician
CredentialsRN, LPN, or specialized nurse certificationsMedical degree (MD or DO), medical license
Work EnvironmentClinics, hospitals, outpatient settings focusing on ongoing managementPrimary clinics, outpatient offices, community health centers
Employer & IndustryHospitals, specialized clinics, home health agenciesPrivate practices, clinics, hospitals
FocusManaging chronic conditions like diabetes, hypertensionGeneral health, preventive care, acute illnesses

Chronic Care professionals primarily focus on managing ongoing health conditions, often requiring specialized certifications, in settings like clinics or hospitals. Primary Care Physicians provide comprehensive health services, including preventive and acute care, with a medical degree. While both roles are essential in healthcare, they differ in credentials, work environment, and scope of practice.

More about Chronic Care jobs
What are the most commonly searched types of Chronic Care jobs? The most popular types of Chronic Care jobs are:
Infographic showing various Chronic Care job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $63,565 per year, or $30.6 per hour.

Chronic Care Management RN

El Centro Family Health

Las Vegas, NM • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago


Job description

Chronic Care Management RN

Las Vegas, NM, USA

Commensurate on experience

Full Time

Health, Dental, Vision, 401k and paid time off

Position Overview

Under the direction and supervision of the Director of Nursing or designee, the Chronic Care Management Registered Nurse (CCM RN) coordinates comprehensive care for patients with multiple chronic conditions. This role focuses on proactive care coordination, chronic disease education, patient outreach, and interdisciplinary collaboration to improve patient outcomes, support value-based care initiatives, and ensure compliance with CMS Chronic Care Management requirements. The CCM RN practices in accordance with the New Mexico Nurse Practice Act, CMS guidelines, HRSA/FQHC standards, and organizational policies.

What You Will Do
  • Deliver comprehensive care coordination and chronic disease management by providing patient education, goal-setting support, and the promotion of preventive health practices through telephonic, virtual, or in-person engagement.
  • Perform comprehensive nursing assessments to develop individualized electronic care plans while monitoring chronic disease indicators, treatment adherence, and facilitating seamless transitions of care through post-hospital follow-ups and specialty referrals.
  • Apply independent clinical judgment and critical thinking to assess patient needs.
  • Conduct telephone triage and escalate urgent or emergent concerns appropriately.
  • Review laboratory, imaging, and diagnostic results related to chronic conditions and coordinate follow-up care.
  • Address social determinants of health through referrals to community resources.
  • Document CCM services, patient contacts, care plans, and time tracking accurately in the electronic health record.
  • Ensure compliance with CMS Chronic Care Management billing requirements, HIPAA regulations, HRSA standards, and organizational policies.
  • Participate in audits, reporting, and quality improvement initiatives.
  • Collaborate with providers, medical assistants, behavioral health, pharmacy, clinic nurses, and community health workers.
  • Support population health initiatives, UDS/HEDIS measures, and value-based care goals.
  • Participate in care team meetings, training activities, and workflow development.
  • Maintain accurate and timely EHR documentation.
  • Identify and enroll eligible patients into CCM programs according to CMS, payer, and organizational guidelines.
  • Other duties as assigned.
Minimum Qualifications
  • Graduate of an accredited registered nursing program.
  • Current, unrestricted Registered Nurse license in the State of New Mexico.
  • Minimum one (1) year of nursing experience in a healthcare setting; chronic disease management, outpatient care, care coordination, or FQHC experience preferred.
  • Basic Life Support (BLS) certification required.
Preferred Qualifications
  • Bachelor of Science in Nursing (BSN).
  • Experience in community health, FQHC, or primary care setting.
  • Chronic Care Management or population health experience.
  • Bilingual English/Spanish, read and write
Physical Requirements
  • Ability to balance, bend, lift, carry, and pull up to 20 lbs.
  • Ability to sit and stand for extended periods, typically longer than four hours.
  • Flexibility to work a varied schedule, including evenings, weekends, or as needed.
  • Manual dexterity and ability to use hands and fingers for feeling, grasping, and operating office equipment.
  • Adequate hearing ability for communication and monitoring office environments.
  • Good vision for reading documents, operating office equipment, and observing surroundings.
  • Capability to stoop, crouch, crawl, or kneel as necessary for office tasks.
  • Ability to talk clearly and effectively for communication.
  • Ability to walk and move around the office environment.
  • This position involves possible exposure to bloodborne pathogens and infectious materials.
Exposures
  • Airborne Pathogens
  • Blood borne Pathogens-Category I
  • Chemicals
  • Electrical current; machine vibration; moving parts.
  • Muscular and muscular strain
  • Noise
  • Odors, fumes, toxicants, explosive materials, and chemicals
  • Temperature
  • Vision and hearing strain
What We Offer
  • 401(k) Retirement Plan
  • 7 Paid Holidays
  • Paid Sick Time
  • Comprehensive Medical, Dental, and Vision Insurance
  • 100% Employer-Paid Basic Life Insurance
  • Voluntary Employee Supplemental Benefits
  • Employee Assistance Program (EAP)
  • Education Reimbursement
  • Flexible Spending Account (FSA)
Who We Are

As a Federally Qualified Health Center (FQHC) and 501(c)(3) nonprofit, El Centro Family Health is dedicated to providing affordable, accessible, and high-quality healthcare to the people of Northern New Mexico. Our mission is to enhance the quality of life in our community by delivering primary care and health education through a network of clinics and collaborative programs. At El Centro, we are committed to offering vital health services in a compassionate, supportive, and patient-centered environment.

Equal Employment Opportunity Statement

El Centro Family Health is an equal opportunity employer. We do not discriminate based on race, color, religion, gender, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other protected characteristic. We are committed to fostering a diverse and inclusive workplace for all.