Working primarily in a clinic environment, engages patients in disease‑specific programs through education, coaching, and care coordination, while also identifying eligible individuals and facilitating enrollment into Remote Patient Monitoring (RPM) services for conditions such as hypertension, obesity, maternal health, and other targeted health needs. Maintains consistent face‑to‑face interaction with patients and care teams through clinic huddles, outreach, and coordination activities, and collaborates closely with clinical staff to track progress toward care goals.