CHRONIC CARE MANAGEMENT REGISTERED NURSE - PRIMARY CARE

Location: Woodlands Medical Specialists Position Type: Full-Time

Position Summary

Woodlands Medical Specialists is seeking a compassionate, detail-oriented, and highly skilled Registered Nurse to join our growing outpatient clinical team in the Chronic Care Management Department. The ideal candidate will have at least 1-3 years of nursing experience and demonstrate strong clinical judgment, excellent patient communication skills, and the ability to effectively collaborate with multiple providers in a fast-paced clinic environment.

This role combines direct patient care, chronic disease management, clinical research support, patient education, triage services, and administrative responsibilities to ensure high-quality patient outcomes and exceptional patient experience

Qualifications

• Current Registered Nurse (RN) license in good standing
• Minimum of 1-3 years of nursing experience in a clinical, ambulatory, or healthcare setting
• Strong clinical assessment and critical-thinking skills
• Excellent interpersonal and communication abilities
• Ability to prioritize tasks and manage multiple responsibilities efficiently
• Experience with electronic medical records (EMR) systems preferred

Essential Clinical Responsibilities

• Conduct telephone and in-person nursing triage to assess patient needs and coordinate appropriate care
• Perform comprehensive patient assessments, including obtaining vital signs and health histories
• Provide patient education focused on chronic disease management, health promotion, and disease prevention
• Administer treatments and medications in accordance with provider orders and established protocols
• Perform venipuncture and laboratory specimen collection
• Initiate and maintain peripheral intravenous (IV) access
• Assist providers with examinations, procedures, and treatments
• Support clinical research activities, including patient screening, documentation, data collection, and protocol compliance
• Monitor patient status and communicate significant findings to providers
• Assist patients with prescription refill requests and medication-related questions
• Ensure compliance with infection prevention and patient safety standards

Administrative Responsibilities

• Accurately document patient encounters and nursing interventions in the EMR
• Schedule appointments, coordinate referrals, and facilitate continuity of care
• Process medication refill requests and prior authorizations
• Manage patient communications through phone calls, electronic messaging, and follow-up outreach
• Collaborate with providers and staff to improve workflows and operational efficiency

Professional Expectations

The successful candidate will:

• Work effectively with multiple physicians and healthcare providers
• Demonstrate exceptional clinical expertise and professionalism
• Utilize strong problem-solving and critical-thinking skills
• Identify workflow challenges and proactively recommend solutions
• Maintain a high level of attention to detail and follow-through
• Meet productivity and patient care expectations
• Promote a positive, collaborative, and patient-centered work environment
• Consistently adhere to organizational policies, procedures, and attendance standards
• Interact with patients, visitors, providers, and coworkers in a professional, respectful, and engaging manner
• Represent the organization through professional appearance, communication, and conduct
• Contribute positively to team culture and organizational values
• Preferred Skills

• IV therapy and venipuncture skills
• Telephone triage
• Patient education
• Multi-provider clinic experience

• Ability to effectively communicate with Spanish-speaking patients and families is highly desired.

Apply today to join a team dedicated to providing exceptional patient care while promoting quality, professionalism, and clinical excellence.