Community Registered Nurse (RN) Care Manager
About the Role
The Registered Nurse (RN) Care Manager is a community-based, field role that partners closely with our Nurse Practitioners and interdisciplinary care team to deliver coordinated, relationship-focused care to older adults living in affordable housing communities. This is not a traditional bedside nursing, home health, or private duty position. Instead, you'll serve as an extension of the primary care team—helping patients navigate chronic conditions, coordinating care across providers and community resources, supporting transitions of care, and empowering patients through education and long-term relationship building.
Responsibilities
- Conduct comprehensive nursing assessments in patients' homes and community settings
- Partner with Nurse Practitioners and Medical Directors to support high-risk and rising-risk patients
- Coordinate care with specialists, primary care providers, hospitals, health plans, and community organizations
- Educate patients on chronic disease management, medication adherence, preventive care, and healthy lifestyle choices
- Support patients through transitions of care following hospitalizations or emergency department visits
- Help identify and close quality care gaps through patient outreach, education, and care coordination
- Reinforce care plans developed by providers while documenting barriers and follow-up needs
- Build trusted, long-term relationships with patients and their families
- Document patient interactions and care activities using Athena, Salesforce, and other technology platforms
Requirements
- Active, unrestricted Registered Nurse (RN) license
- Minimum of 3 years of RN experience
- Experience working independently in community, home-based, or field settings preferred
- Experience in care management, case management, primary care, value-based care, home health, or chronic disease management preferred
- Strong communication, organization, and relationship-building skills
- Passion for serving older adults and improving healthcare access
- Comfortable working independently while collaborating with an interdisciplinary care team
- Experience with electronic health records (EHRs) and healthcare technology
- Valid driver's license and reliable transportation
Benefits
Benefits for full-time employees begin the first day of the month following your start date.
Health & Wellness
- Medical, dental, and vision insurance
- Employer-funded HSA and FSA options
- Employer-paid life and disability insurance
- Optional supplemental insurance plans
- Access to Matter Health's in-person and virtual care services
Financial Benefits
- Competitive salary
- 401(k) with company match beginning on Day 60
- Financial wellness resources
Time Away
- Up to 4 weeks of Paid Time Off
- 10 paid company holidays
- 2 paid Volunteer Days each year
Pay
Compensation Range: $105,000 - $129,000 per year