Assesses, plans, develops, coordinates, implements, and evaluates preventive and clinical services for all assigned beneficiaries, to include but not limited to: Taking health histories, evaluating annual and fitness health conditions which cause or exacerbate clinical disease, patient and family advocacy, role modeling, performing telehealth nursing, patient assessments and triage of diverse patient symptoms, health screening, acute, routine, wellness, emergency care, a variety of treatments and diagnostic procedures, and medication and immunization administrations. ertification in disease-management related area such as: Certified Health Coach (CHC) by National Society of Health Coaches; or a patient education body such as: Certified Diabetes Educator (CDE) by National Certification Board for Diabetes Educators or Certified Asthma Educator (AE-C) by National Asthma Educator Certification Board; -OR- can be certification eligible with 2 years for BSN of full-time disease management experience.