Intensive Community Manager, Complex Care (RN)
Core
Registered Nurse leading complex care case management for high-risk patients to prevent hospital admissions and maximize time at home.
Role type
Senior Registered Nurse (Clinical Lead)
Builds
Hyperfocus case management and field nursing interventions for complex care patients
Domain
Healthcare / Senior Care / Community Health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse (RN) license, case management, clinical assessment, care plan design, fall prevention, social determinants of health screening, home visit coordination, multidisciplinary team collaboration, patient education, resource navigation, Microsoft Office proficiency
Preferred skills
Bachelor's degree in nursing or related clinical field, Certified Case Manager (CCM/CMCN), Compact RN license, 1+ years community case management experience, bilingual (English + other)
Technologies
Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Responsibilities
Conduct in-house, facility, and telephonic visits to high-risk patients; perform home field nursing interventions and assessments; design and coordinate comprehensive plans of care; supervise LPNs and team members; facilitate multidisciplinary team meetings; connect patients with community and financial resources; monitor quality of outpatient services; assist with patient discharge and program approval processes.
Seniority
Senior, hands-on IC with supervisory responsibilities