Overview: The Registered Nurse (RN) or Licensed Practical Nurse (LPN) supports the Chronic Care Management (CCM) and Advanced Primary Care Management (APCM) Programs by providing ongoing care coordination, patient outreach, documentation, medication reconciliation, and communication with patients, caregivers, providers, pharmacies, specialists, hospitals, and community resources. Ensure all APCM/CCM patients have a personalized care plan that addresses their unique needs, preferences, and goals, including medication management, health education, lifestyle modifications and specialist coordination.