The HCW will provide highly coordinated nursing care interventions using established VA/DoD Clinical Practice Guidelines, in coordination with other medical professionals including providers and pharmacists, to prevent or lesson possible disease progression and unfavorable outcomes associated with uncontrolled chronic disease/conditions The HCW will be part of a multidisciplinary team that assesses health promotions risk, analyzes health data, develops content for educational programs, drafts health promotions policy guidance, and evaluates health promotions outcome measures aim to deliver improved patient care. The HCWs shall provide services within the scope of their competencies, the applicable duties provided in the basic contract, and the following: The HCW will manage care for the patients of the Health and Wellness Department within the Health and Wellness and Disease Prevention domain to promote effective education, self-management support, and timely health care delivery to help improve patient's health and wellness efforts.