Under general supervision of the Nursing Team Leader, Clinical Leader and/or the Department Director and under the general direction of the department providers (MD/DO, APRN, PA), perform as a member of the healthcare team to apply the nursing process when making nursing judgments and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes. Work closely with a group of patients using health coaching techniques to assist them in self-management of their stable chronic illness(es). The Collaborative Care RN will facilitate communication between the patients and their Primary Care Providers. In addition, the Collaborative Care RN will assist with Advance Directives planning, Annual Wellness Visits, chronic disease action plans and preventative care utilizing assessment skills both in person and telephonically. This RN position will be a resource for other team members and critical thinking skills are a must. Graduate of accredited nursing program. BSN preferred. NH RN License. BLS within 3 months of hire and maintained on a bi-annual basis. Minimum of 2 years of experience as an RN, preferably in the outpatient setting. Familiarity with Patient-Centered Medical Home model. Immunization proficiency.