Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. Help manage high-risk patient care, including management of patients with multiple co-morbidities and/or high risk for readmission to a hospital setting, including data entry/management, outreach attempts, and scheduling to improve patient outcomes.