Job DescriptionIn collaboration with a multidisciplinary team, within the Comprehensive CARE Center, the nurse case manager is responsible for patients who are identified as high or potential high utilizers of the system to assess and assist in the coordination of patient's care across the continuum. Position functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.1. Assessment:* Identify and assess high risk patients with chronic disease, complex medical, and psychosocial needs referred to the CARE Center* Complete a thorough assessment with patient's history including me