RN Chronic Disease Coordinator - New York, New York - NurseRecruiter.com

Permanent Nursing Job in
New York , New York, 10041

  • Employer: NYC Health + Hospitals
  • Profession: Registered Nurse
  • Specialty: Other
  • Compensation: $82,877+ annually

Inquire about this Job

Share This Job
Come join the largest public hospital system in the nation! Every day, we work together to make an extraordinary difference in the health and well-being of each individual we serve - without exception.

NYC Health + Hospitals is an integrated health care system of hospitals, neighborhood health centers, long-term care, nursing homes, and home care – the public safety net health care system of New York City. NYC Health + Hospitals is committed to the health and well-being of all New Yorkers and we offer a wide range of high quality and affordable health care services to keep our patients healthy and to address the needs of New York City's diverse populations.

NYC Health + Hospitals is currently seeking several Chronic Disease Nurses who will have dual reporting structure. The RN Chronic Disease Coordinator will report to Facility ambulatory CNO. Duties will include:

-Work at one of our adult primary care clinics to improve the quality of chronic disease care.
-Focus 50% on direct patient care and 50% on performance improvement responsibilities.
-Provide direct clinical care, for patients with uncontrolled chronic conditions e.g., hypertension or diabetes. This can include
-Educate patients about diagnosis, treatment, medications, and needed follow-up
-Conduct nurse follow-up visits for HTN management, insulin teaching and/or titration.
-Identify underlying challenges such as socioeconomic, cultural, physical or language barriers
-Collaborate with patients, families and care team to address barriers, using strategies such as motivational interviewing and brief action planning.
-Liaise with social work department to develop strategies to address social determinants (e.g., homelessness or food insecurity)
-Organize group medical visits and moderate discussion to optimize peer-peer support
-Collaborate with central office staff in the Office of Population Health to implement chronic disease performance improvement initiatives.
-Report progress bi-weekly on facility chronic disease initiatives
-Coordinate and collaborate with facility clinical, nursing and administrative leadership to drive continuous performance improvement for chronic disease management
-Educate ambulatory nursing staff on chronic disease initiatives
-Monitor adherence of ambulatory nursing staff to performance improvement plans
-Track and share quality metrics with stakeholders across the facility
-Implement OPH disease management toolkits to drive facility change.
-Coordinate with OPH and facility leadership to address barriers in achieving improvement goals.

Job Requirements

- Valid NYS RN license
- Bachelor’s degree in Nursing
- Minimum 3 years of experience working in a health care setting
- Mission driven and a motivated self-starter with initiative
- Well organized and able to prioritize competing demands from multiple sources in a deadline-driven environment.
-Strong team player with excellent communication skills.


New York, New York , 10041

Employment Type



$82,877+ annually


NYC Health + Hospitals

Date Posted

Oct 3rd, 2018

Not what you're looking for? No problem! Register now to gain access to our entire job board.


Find More Jobs