Complex Care Nurse (RN)
Core
Registered Nurse serving as a clinical lead for the Complex Care Team, managing highest-risk patients to prevent unnecessary hospital arrivals and stabilize care at home.
Role type
Senior IC Complex Care Nurse (Case Management)
Builds
Hyperfocus case management and field nursing interventions for high-complexity patients
Domain
Healthcare / Community Health / Case Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan design, team supervision, fall prevention screening, social determination of health (SdoH) assessment, medication monitoring, health education, community resource navigation, multidisciplinary coordination, discharge planning
Preferred skills
BSN degree, Compact RN license, Certified Case Manager (CCMC/CMCN), 1+ years community case management experience
Technologies
Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Responsibilities
Conduct in-house, facility, and telephonic visits to high-risk patients; perform home visits for field nursing interventions and care plan development; supervise LPNs and coordinate patient discharge; assess patient environment, fall risk, and caregiver capacity; coordinate multidisciplinary team meetings; facilitate patient navigation of healthcare systems and community resources; monitor quality of Home Health Aide (HHA) visits
Seniority
Senior, hands-on IC with clinical leadership duties