About the position La Clinica de Familia (LCDF) is a FQHC with several locations in Southern New Mexico. For over 40 years, La Clinica has provided services to the residents of Southern New Mexico. Our mission statement definitely speaks to what La Clinica de Familia stands for, which is to empower and enrich families, individuals, and communities by providing quality medical, dental, behavioral health and educational service for people of all cultures. Under the supervision of the Population Health Director, the Chronic Care Specialist is responsible for successfully supporting patients with high risk health conditions to navigate the healthcare system. The Chronic Care Specialist interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators to support the chronic care management/transition of care process. The Chronic Care Specialist acts as a resource for clinic staff. The Chronic Care Specialist works in a less structured, self-directed environment and performs all nursing duties within the scope of an LVN/LPN license of the applicable state board of nursing. Responsibilities • Support patients with high risk health conditions to navigate the healthcare system. • Interact and collaborate with multidisciplinary care teams including physicians, nurses, and social workers. • Act as a resource for clinic staff. • Perform nursing duties within the scope of an LVN/LPN license. Requirements • Licensed Practical/Vocational Nurse or other credentialed health professional with an active and unrestricted NM or Compact State License. • Current BLS certification. • 2+ years of experience in a physician's office, clinical or hospital setting. • Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD. • Proficient computer skills to work efficiently with electronic medical records. Nice-to-haves • Experience related to patient education and/or motivational interviewing skills and self-management goal setting. • Experience with outbound patient telecommunications. • Fluent written and verbal skills in English and Spanish. • Excellent verbal and written skills. • Solid interpersonal skills. • Ability to interact productively with individuals and with multidisciplinary teams. • Excellent organizational and prioritization skills. • Ability to travel throughout the assigned region and comfort with conducting home visits as needed. Benefits • Health Insurance - PPO • Dental Insurance • Vision Insurance • 401(K) with employer matching • Life and AD&D Insurance • Short Term Disability • Long Term Disability • Supplement Life Insurance • Paid Time Off (PTO) • Holidays (9) • Education Reimbursement • Cafeteria Plan • Employee Assistance Program • Travel Reimbursement Apply tot his job